Organization Active NPI

Sleep Dentistry -St. Louis, LLC

  • Dental Anesthesiology
  • Saint Louis, MO
National Provider Identifier
1215547997
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
Legal business name
SLEEP DENTISTRY -ST. LOUIS, LLC
Practice address
950 Francis PL Ste 305
Saint Louis, MO 63105-2465
Phone
(314) 862-7844
Fax
(314) 862-4504
NPI assigned
Aug 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Mary Lea Bommarito, OM
Title
Office Manager
Phone
(314) 862-7844

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Dental AnesthesiologyGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0004X Primary

Addresses

Primary practice location

950 Francis PL Ste 305
Saint Louis, MO 63105-2465

Mailing address

950 Francis PL Ste 305
Saint Louis, MO 63105-2465
Phone (314) 862-7844

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2199301Sleep Dentistry St Louis950 Francis Place Suite 305, Clayton, MO 63105Certificate of waiverNov 5, 2026

National Provider Directory

National Provider Directory

Locations

950 Francis Pl
Ste 305
Saint Louis, MO 63105
Phone (314) 861-7844

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1215547997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL STE 305",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-862-7844",
            "fax_number": "314-862-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL STE 305",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-862-7844",
            "fax_number": "314-862-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DENTISTRY -ST. LOUIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "BOMMARITO",
        "authorized_official_first_name": "MARY LEA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-862-7844",
        "authorized_official_credential": "OM"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.