Organization Active NPI

Erie Sleep Management LLC

  • Dental Clinic/Center
  • Erie, PA
National Provider Identifier
1134510001
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS020914L Issued in PA
Legal business name
ERIE SLEEP MANAGEMENT LLC
Practice address
702 W 34TH St
Erie, PA 16508-2649
Phone
(814) 868-5411
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Dr. Douglas R Weber, DMD
Title
Member
Phone
(814) 868-5411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS020914L PA Primary

Addresses

Primary practice location

702 W 34TH St
Erie, PA 16508-2649

Mailing address

702 W 34TH St
Erie, PA 16508-2649
Phone (814) 868-5411

National Provider Directory

National Provider Directory

Locations

702 W 34th St
Erie, PA 16508
Phone (814) 868-5411

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1134510001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W 34TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082649",
            "telephone_number": "814-868-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W 34TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082649",
            "telephone_number": "814-868-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE SLEEP MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "814-868-5411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS020914L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.