Organization Active NPI

Optimal Sleep Solutions LLC

  • Dentist
  • Glendale, AZ
National Provider Identifier
1194110064
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OPTIMAL SLEEP SOLUTIONS LLC
Practice address
8110 W Union Hills Dr
Suite 430
Glendale, AZ 85308-8177
Phone
(623) 594-9787
NPI assigned
Mar 30, 2015
Last updated
Jul 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Lisa Moler
Title
Owner
Phone
(623) 594-9787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8110 W Union Hills Dr
Suite 430
Glendale, AZ 85308-8177

Mailing address

11825 State Route 40
100
Dunlap, IL 61525-8842
Phone (309) 839-9961

National Provider Directory

National Provider Directory

Locations

8110 W Union Hills Dr
Ste 430
Glendale, AZ 85308
Phone (623) 398-7334

11825 State Route 40
Ste 100
Dunlap, IL 61525
Phone (309) 243-8980

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1194110064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 STATE ROUTE 40",
            "address_2": "100",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615258842",
            "telephone_number": "309-839-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 W UNION HILLS DR",
            "address_2": "SUITE 430",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088177",
            "telephone_number": "623-594-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL SLEEP SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "MOLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-594-9787"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.