Organization Active NPI

Restassured Sleep Center

  • Dentist
  • Palm Beach Gardens, FL
National Provider Identifier
1114738457
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RESTASSURED SLEEP CENTER
Practice address
3365 Burns Rd Ste 212
Palm Beach Gardens, FL 33410-4302
Phone
(561) 627-9056
Fax
(561) 625-0910
NPI assigned
Jan 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Charles Etheredge, DMDNPI 1427266295
Title
Owner
Phone
(561) 627-9056

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

3365 Burns Rd Ste 212
Palm Beach Gardens, FL 33410-4302

Mailing address

3365 Burns Rd Ste 212
Palm Beach Gardens, FL 33410-4302
Phone (561) 627-9056

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1114738457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD STE 212",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104302",
            "telephone_number": "561-627-9056",
            "fax_number": "561-625-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD STE 212",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104302",
            "telephone_number": "561-627-9056",
            "fax_number": "561-625-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTASSURED SLEEP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "ETHEREDGE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-627-9056",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "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": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.