Ep Dental Sleep Medicine, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

23551 Issued in TX

Legal business name

EP DENTAL SLEEP MEDICINE, PLLC

Practice address

6901 Helen of Troy Ste D2
El Paso, TX 79911-3130

Phone

(815) 881-9898

NPI assigned

Aug 20, 2018

Organization subpart

No

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

Authorized official

Name

Bryan Kalish, DDSNPI 1730139635

Title

Owner

Phone

(915) 881-9898

Specialties & licenses 1

Addresses

Other names 1

• Koala Center for Sleep Disorders Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan Patrick Kalish, D.D.S., M.S.

  • Periodontics
  • El Paso, TX
  • NPI 1730139635
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1114407970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 STATE ROUTE 40 STE 100",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615258842",
            "telephone_number": "309-839-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 HELEN OF TROY STE D2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113130",
            "telephone_number": "815-881-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EP DENTAL SLEEP MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "KALISH",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-881-9898",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koala Center for Sleep Disorders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Enriquez
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• Chiemeka Jerry Enyidede, PHARMD
• Ep Dental PLLC
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• Ep Family Clinic, PA
• Ep Family Home Care Solutions Inc
• Ep Foot Care, PA
• Ep Health and Wellness, PLLC

• Dentist in El Paso, TX
• Providers in El Paso, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.