Organization Active NPI

Sweet Dreams

  • Dentist
  • El Dorado Hills, CA
National Provider Identifier
1053783779
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Oct 21, 2015

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)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
MEM-463489OtherCAAMERICAN ACADEMY OF PAIN MANAGEMENT
012345OtherCASLEEP APNEA ASSOCIATION

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.