Sleep Optima Dental Network, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

SLEEP OPTIMA DENTAL NETWORK, LLC

Doing business as

Sleep Optima

Practice address

26380 Curtiss Wright Pkwy
Suite 303
Richmond HTS, OH 44143-4407

Phone

(877) 643-1613

Fax

(877) 688-4006

NPI assigned

Oct 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Muttillo

Title

Manager

Phone

(877) 643-1613

Specialties & licenses 1

Addresses

Other names 1

• Sleep Optima Doing business as

Locations

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1205230141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26380 CURTISS WRIGHT PKWY",
            "address_2": "SUITE 303",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441434407",
            "telephone_number": "877-643-1613",
            "fax_number": "877-688-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26380 CURTISS WRIGHT PKWY",
            "address_2": "SUITE 303",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441434407",
            "telephone_number": "877-643-1613",
            "fax_number": "877-688-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP OPTIMA DENTAL NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "MUTTILLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "877-643-1613",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Optima",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Andrew Rusnak, CNP
• Alexis Russell
• Vanessa Nicole Sarubbi
• Monica Shelby, PHARMD
• Gwendolyn Sims
• Annette Smith, RN
• Gail Renee Smith, CRNP
• Asad Sohail
• Gabriel Stanescu, MD
• Roxana Stanescu, MD

• Sleep Disorder Diagnostic Clinic/Center in Richmond HTS, OH
• Providers in Richmond HTS, OH by specialty
• Sleep Disorder Diagnostic Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.