Organization Active NPI

Restful Sleep Plus LLC

  • Customized Equipment (DME)
  • Casper, WY
National Provider Identifier
1124495775
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
104611 Issued in WY
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

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
John Lee Bouzis, DDSNPI 1417923681
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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20160815000608 WY DME Supplier - Oral Surgery - Dentist 9133413198 Practice locations: Casper, WY

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": "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.

Verify at the official NPI Registry.