Organization Active NPI

Serenity Sleep Solutions Inc.

  • General Practice Dentistry
  • Mountain View, CA
National Provider Identifier
1144030115
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SERENITY SLEEP SOLUTIONS INC.
Practice address
105 South Dr Ste 140
Mountain View, CA 94040-4317
Phone
(650) 938-1868
Fax
(650) 938-1968
NPI assigned
Jan 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Dong ShenNPI 1538265715
Title
Owner
Phone
(650) 938-1868

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

105 South Dr Ste 140
Mountain View, CA 94040-4317

Mailing address

105 South Dr Ste 140
Mountain View, CA 94040-4317
Phone (650) 938-1868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20251022002542 CA Part B Supplier - Clinic/Group Practice 9032607973 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain View, CA
O20251029000692 CA DME Supplier - Oral Surgery - Dentist 9032607973 Practice locations: Mountain View, CA

National Provider Directory

National Provider Directory

Locations

105 South Dr
Ste 140
Mountain View, CA 94040
Phone (650) 254-1596

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": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1144030115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOUTH DR STE 140",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404317",
            "telephone_number": "650-938-1868",
            "fax_number": "650-938-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOUTH DR STE 140",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404317",
            "telephone_number": "650-938-1868",
            "fax_number": "650-938-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SLEEP SOLUTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "DONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-938-1868"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.