NPIMap

Organization Active NPI

Soh of Texas Specialty Services PLLC

Doing business as Panther Creek Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • The Woodlands, TX
National Provider Identifier
1992470470
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SOH OF TEXAS SPECIALTY SERVICES PLLC
Doing business as
Panther Creek Orthodontics
Practice address
4850 W Panther Creek Dr Ste 108
The Woodlands, TX 77381-3595
Phone
(281) 367-7775
NPI assigned
Aug 16, 2021
Organization subpart
Yes
Parent organization
SOH DENTAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Ashly Kristine Sunshine
Title
Credentialing Specialist
Phone
(314) 413-2803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

4850 W Panther Creek Dr Ste 108
The Woodlands, TX 77381-3595

Mailing address

4850 W Panther Creek Dr Ste 108
The Woodlands, TX 77381-3595
Phone (281) 367-7775

Other names 1

  • Panther Creek Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soh of Texas Specialty Services PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4850 W Panther Creek Dr
Ste 108
The Woodlands, TX 77381
Phone (281) 367-7775

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1992470470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W PANTHER CREEK DR STE 108",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813595",
            "telephone_number": "281-367-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W PANTHER CREEK DR STE 108",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813595",
            "telephone_number": "281-367-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOH OF TEXAS SPECIALTY SERVICES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOH DENTAL, LLC",
        "enumeration_date": "2021-08-16",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "SUNSHINE",
        "authorized_official_first_name": "ASHLY",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "314-413-2803"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panther Creek Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.