Active NPI
Sweet Dreams
- Dentist
- El Dorado Hills, CA
National Provider Identifier
1053783779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SWEET DREAMS
- Practice address
- 3532 Trenton Way
El Dorado Hills, CA 95762-6958 - Phone
- (916) 705-6346
- NPI assigned
- Oct 21, 2015
- 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
- Beverly Deffebach
- Title
- Board Member
- Phone
- (916) 705-6346
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CA | ||
| Dentist | 122300000X | CA | Primary |
Addresses
Primary practice location
3532 Trenton Way
El Dorado Hills, CA 95762-6958
Mailing address
3532 Trenton Way
El Dorado Hills, CA 95762-6958
Phone (916) 705-6346
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MEM-463489 | Other | CA | AMERICAN ACADEMY OF PAIN MANAGEMENT |
| 012345 | Other | CA | SLEEP APNEA ASSOCIATION |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445385600000",
"number": "1053783779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3532 TRENTON WAY",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957626958",
"telephone_number": "916-705-6346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3532 TRENTON WAY",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957626958",
"telephone_number": "916-705-6346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEET DREAMS",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-21",
"last_updated": "2015-10-21",
"status": "A",
"authorized_official_last_name": "DEFFEBACH",
"authorized_official_first_name": "BEVERLY",
"authorized_official_title_or_position": "BOARD MEMBER",
"authorized_official_telephone_number": "916-705-6346"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF PAIN MANAGEMENT",
"identifier": "MEM-463489",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SLEEP APNEA ASSOCIATION",
"identifier": "012345",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.