NPIMap

Organization Active NPI

Ez Sleep Solutions, Inc.

  • General Practice Dentistry
  • Mangum, OK
National Provider Identifier
1194295741
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EZ SLEEP SOLUTIONS, INC.
Practice address
230 E. Jefferson
Mangum, OK 73554
Phone
(590) 782-2552
NPI assigned
Nov 27, 2018
Last updated
May 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Dustin Curt Lively, DDSNPI 1073527933
Title
Owner
Phone
(580) 782-2027

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 Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

230 E. Jefferson
Mangum, OK 73554

Mailing address

230 E Jefferson St Ste B
Mangum, OK 73554-4202
Phone (590) 782-2552

National Provider Directory

National Provider Directory

Locations

230 E Jefferson St
Mangum, OK 73554
Phone (580) 782-2027

230 E Jefferson St
Ste B
Mangum, OK 73554

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1194295741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E JEFFERSON ST STE B",
            "city": "MANGUM",
            "state": "OK",
            "postal_code": "735544202",
            "telephone_number": "590-782-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E. JEFFERSON",
            "city": "MANGUM",
            "state": "OK",
            "postal_code": "73554",
            "telephone_number": "590-782-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ SLEEP SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "LIVELY",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "CURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-782-2027",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mangum, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.