Modern Sleep Solutions PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MODERN SLEEP SOLUTIONS PLLC

Doing business as

Sleep Rehab

Practice address

3447 Renner Rd # 100a
Plano, TX 75074-0051

Phone

(972) 496-0515

Fax

(469) 440-9198

NPI assigned

Nov 8, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Keane E Fedosky, DDSNPI 1528280351

Title

Owner

Phone

(214) 538-9780

Specialties & licenses 2

Addresses

Other names 1

• Sleep Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Keane E Fedosky, D.D.S.

  • General Practice Dentistry
  • Rowlett, TX
  • NPI 1528280351
  NPD Authorized official

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1205265386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3447 RENNER RD # 100A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750740051",
            "telephone_number": "972-496-0515",
            "fax_number": "469-440-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3447 RENNER RD # 100A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750740051",
            "telephone_number": "972-496-0515",
            "fax_number": "469-440-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN SLEEP SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "FEDOSKY",
        "authorized_official_first_name": "KEANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-538-9780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sleep Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Mobley, M.D.
• Frank William Mocek, M.D.
• Isitri Modak, MD
• Modern Dental Professionals - Oklahoma, PC
• Modern Dental Professionals, Oklahoma P.C. (Monarch Dental)
• Modern Vue Eyecare PLLC
• Gunjan M Modi, M.D.
• Seema C Modi, MD
• Modoma Physical Medicine
• Hunter Moehnke

• General Practice Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.