Organization Active NPI

Deep Sleep Dental Solutions, LLC

  • General Practice Dentistry
  • Deland, FL
National Provider Identifier
1164044889
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DEEP SLEEP DENTAL SOLUTIONS, LLC
Practice address
111 S Dexter Ave
Deland, FL 32720-5165
Phone
(386) 734-0482
Fax
(386) 738-3768
NPI assigned
May 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Dr. Joseph Francis Goodreau, DDSNPI 1285809285
Title
President/Dentist
Phone
(386) 734-0482

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

111 S Dexter Ave
Deland, FL 32720-5165

Mailing address

3550 Bareback TRL
Ormond Beach, FL 32174-7953
Phone (386) 677-7367

Other names 1

  • Deep Sleep Dental Solutions, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL DeLand Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

111 S Dexter Ave
Deland, FL 32720
Phone (386) 734-0482

Practitioners & affiliated clinicians

Practitioners 2

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": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1164044889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 BAREBACK TRL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747953",
            "telephone_number": "386-677-7367",
            "fax_number": "386-738-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S DEXTER AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205165",
            "telephone_number": "386-734-0482",
            "fax_number": "386-738-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP SLEEP DENTAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "GOODREAU",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "386-734-0482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DeLand",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DeLand",
            "address_1": "111 S Dexter Ave",
            "city": "Deland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327205165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Deep Sleep Dental Solutions, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.