Desert Mountain Sleep Solutions LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DESERT MOUNTAIN SLEEP SOLUTIONS LLC

Practice address

6920 E Shea Blvd Ste 101
Scottsdale, AZ 85254-6185

Phone

(480) 991-3244

Fax

(480) 991-3244

NPI assigned

Nov 24, 2017

Organization subpart

No

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

Authorized official

Name

Tim J Wildung

Title

Managing Member

Phone

(602) 391-4107

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1511481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511481600000",
    "number": "1174037436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 E SOUTHERN AVE STE A-122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092790",
            "telephone_number": "602-391-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 E SHEA BLVD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546185",
            "telephone_number": "480-991-3244",
            "fax_number": "480-991-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MOUNTAIN SLEEP SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-24",
        "last_updated": "2017-11-24",
        "status": "A",
        "authorized_official_last_name": "WILDUNG",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-391-4107"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2017; 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.