Organization Active NPI

Wise Sleep and Wellness LLC

  • Customized Equipment (DME)
  • Lakewood, CO
National Provider Identifier
1083117493
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
WISE SLEEP AND WELLNESS LLC
Practice address
7373 W Jefferson Ave
Lakewood, CO 80235-2038
Phone
(303) 204-4852
NPI assigned
Mar 12, 2018
Last updated
Mar 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Dr. Randall Wise, DDSNPI 1548260854
Title
Dentist
Phone
(303) 204-4852

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
Dentist 122300000X CO809 CO
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

7373 W Jefferson Ave
Lakewood, CO 80235-2038

Mailing address

7373 W Jefferson Ave
Lakewood, CO 80235-2038

National Provider Directory

National Provider Directory

Locations

7373 W Jefferson Ave
Lakewood, CO 80235
Phone (303) 988-7800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1083117493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 W JEFFERSON AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 W JEFFERSON AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352038",
            "telephone_number": "303-204-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE SLEEP AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-204-4852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "CO809",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.