Active NPI
Laya Sleep Clinic, LLC
- General Practice Dentistry
- Fort Walton Beach, FL
National Provider Identifier
1003471236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.