Organization Active NPI

Levata Sleep PC

  • General Practice Dentistry
  • Marquette, MI
National Provider Identifier
1033765029
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEVATA SLEEP PC
Doing business as
Levata
Levata Sleep
Practice address
304 State Highway M553
Marquette, MI 49855-9422
Phone
(906) 242-2443
Fax
(906) 249-5211
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Authorized official

Name
Dr. Anja Marie Hoffstrom, DDSNPI 1891147187
Title
President
Phone
(906) 242-2443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

304 State Highway M553
Marquette, MI 49855-9422

Mailing address

304 State Highway M553
Marquette, MI 49855-9422
Phone (906) 242-2443

Other names 2

  • Levata Doing business as
  • Levata Sleep Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200207001779 MI DME Supplier - Oral Surgery - Dentist 4082040134 Practice locations: Marquette, MI
O20230109001532 MI Part B Supplier - Clinic/Group Practice 4082040134 Receives reassigned benefits from 1 practitioner
Practice locations: Marquette, MI

National Provider Directory

National Provider Directory

Locations

304 State Highway M553
Marquette, MI 49855
Phone (906) 242-2443

Practitioners & affiliated clinicians

Practitioners 1

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": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721433600000",
    "number": "1033765029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 STATE HIGHWAY M553",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559422",
            "telephone_number": "906-242-2443",
            "fax_number": "906-249-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 STATE HIGHWAY M553",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559422",
            "telephone_number": "906-242-2443",
            "fax_number": "906-249-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVATA SLEEP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A",
        "authorized_official_last_name": "HOFFSTROM",
        "authorized_official_first_name": "ANJA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-242-2443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Levata",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Levata",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Levata Sleep",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.