Organization Active NPI

Breathe Sleep Center, LLC

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1043023054
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BREATHE SLEEP CENTER, LLC
Practice address
4312 W El Prado Blvd
Tampa, FL 33629-8440
Phone
(813) 831-8588
Fax
(813) 831-7036
NPI assigned
Jan 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Mr. Justin Lee Elikofer, DDSNPI 1669929600
Title
President
Phone
(812) 568-1195

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

4312 W El Prado Blvd
Tampa, FL 33629-8440

Mailing address

4312 W El Prado Blvd
Tampa, FL 33629-8440
Phone (813) 831-8588

Other names 1

  • Advanced Dental Associates of South Tampa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250717004161 FL DME Supplier - Oral Surgery - Dentist 8224544275 Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

4312 W El Prado Blvd
Tampa, FL 33629
Phone (813) 831-8588

Practitioners & affiliated clinicians

Practitioners 3

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": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1043023054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 W EL PRADO BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298440",
            "telephone_number": "813-831-8588",
            "fax_number": "813-831-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 W EL PRADO BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298440",
            "telephone_number": "813-831-8588",
            "fax_number": "813-831-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE SLEEP CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "ELIKOFER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-568-1195",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Associates of South Tampa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Dental Associates of South Tampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.