NPIMap

Organization Active NPI

Soh of Tennessee PLLC

  • General Practice Dentistry
  • Brentwood, TN
National Provider Identifier
1992280648
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SOH OF TENNESSEE PLLC
Practice address
1600 Westgate Cir
Brentwood, TN 37027-8059
Phone
(615) 481-4555
NPI assigned
Sep 28, 2018
Organization subpart
Yes
Parent organization
SOHDENTAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ray Weber
Title
Regional Support Specialist
Phone
(314) 753-8154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1600 Westgate Cir
Brentwood, TN 37027-8059

Mailing address

1422 Elbridge Payne Rd Ste 240
Chesterfield, MO 63017-8544
Phone (636) 362-4986

National Provider Directory

National Provider Directory
Tax ID family
Soh of Tennessee PLLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1992280648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 ELBRIDGE PAYNE RD STE 240",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178544",
            "telephone_number": "636-362-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WESTGATE CIR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278059",
            "telephone_number": "615-481-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOH OF TENNESSEE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOHDENTAL LLC",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "REGIONAL SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "314-753-8154"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.