Swallowtail Sleep Center LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SWALLOWTAIL SLEEP CENTER LLC

Practice address

2400 Wales Ave NW Ste J
Massillon, OH 44646-2367

Phone

(330) 904-7753

NPI assigned

Oct 31, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Richard MosherNPI 1104845494

Title

Owner

Phone

(330) 904-7753

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Bradley Mosher, D.M.D.

  • General Practice Dentistry
  • Massillon, OH
  • NPI 1104845494
  NPD Authorized official

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1164066320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WALES AVE NW STE J",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462367",
            "telephone_number": "330-832-4533",
            "fax_number": "330-832-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WALES AVE NW STE J",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462367",
            "telephone_number": "330-904-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWALLOWTAIL SLEEP CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2020-09-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "MOSHER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-904-7753",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joseph Michael Surmitis, M.D.
• Annette DH Suttle, CRNA
• Kassondra Marie Suttle
• Cynthia Swanson
• Adam J Swed, LPC, CDCA
• Peter Sweitzer
• Bobbi J Szalay, M.ED.
• Christina Marie Szarka

• Dentist in Massillon, OH
• Providers in Massillon, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.