Active NPI
Restful Sleep Plus LLC
- Customized Equipment (DME)
- Casper, WY
National Provider Identifier
1124495775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 104611
- Legal business name
- RESTFUL SLEEP PLUS LLC
- Practice address
- 130 N Ash St
Suite 202
Casper, WY 82601-1821 - Phone
- (307) 265-3595
- Fax
- (307) 265-0778
- NPI assigned
- Aug 31, 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
- John Lee Bouzis, DDS
- Title
- Sole Member
- Phone
- (307) 265-3595
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 104611 | WY | |
| Customized Equipment (DME) | 332BC3200X | 104611 | WY | Primary |
Addresses
Primary practice location
130 N Ash St
Suite 202
Casper, WY 82601-1821
Mailing address
130 N Ash St
Suite 202
Casper, WY 82601-1821
Phone (307) 265-3595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160815000608 | WY | DME Supplier - Oral Surgery - Dentist | 9133413198 | Practice locations: Casper, WY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Casper, WY
- NPI 1417923681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440979200000",
"number": "1124495775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 N ASH ST",
"address_2": "SUITE 202",
"city": "CASPER",
"state": "WY",
"postal_code": "826011821",
"telephone_number": "307-265-3595",
"fax_number": "307-265-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 N ASH ST",
"address_2": "SUITE 202",
"city": "CASPER",
"state": "WY",
"postal_code": "826011821",
"telephone_number": "307-265-3595",
"fax_number": "307-265-0778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTFUL SLEEP PLUS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-31",
"last_updated": "2015-08-31",
"status": "A",
"authorized_official_last_name": "BOUZIS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "307-265-3595",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "WY",
"license": "104611",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "WY",
"license": "104611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.