Organization Active NPI

Laya Sleep Clinic, LLC

  • General Practice Dentistry
  • Fort Walton Beach, FL
National Provider Identifier
1003471236
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAYA SLEEP CLINIC, LLC
Practice address
348 Miracle Strip Pkwy SW Ste 15a
Fort Walton Beach, FL 32548-5258
Phone
(850) 865-5709
NPI assigned
May 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Nick Jazayeri
Title
Dentist
Phone
(850) 865-5709

Specialties & licenses 1

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

Addresses

Primary practice location

348 Miracle Strip Pkwy SW Ste 15a
Fort Walton Beach, FL 32548-5258

Mailing address

348 Miracle Strip Pkwy SW Ste 15a
Fort Walton Beach, FL 32548-5258

National Provider Directory

National Provider Directory

Locations

348 Miracle Strip Pkwy SW
Ste 15A
Fort Walton Beach, FL 32548
Phone (850) 865-5709

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1003471236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 MIRACLE STRIP PKWY SW STE 15A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MIRACLE STRIP PKWY SW STE 15A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485258",
            "telephone_number": "850-865-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYA SLEEP CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "JAZAYERI",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "850-865-5709"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.