Premier Sleep Solutions

Primary specialty

DentistTaxonomy code 122300000X

License

63667 Issued in CA

Legal business name

PREMIER SLEEP SOLUTIONS

Practice address

400 Corporate Pointe
Suite 300
Culver City, CA 90230-7615

Phone

(310) 242-8921

NPI assigned

Sep 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Shad London Morris, DMD

Title

Owner

Phone

(435) 531-6595

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1235531708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CORPORATE POINTE",
            "address_2": "SUITE 300",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "90230",
            "telephone_number": "310-242-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CORPORATE POINTE",
            "address_2": "SUITE 300",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307615",
            "telephone_number": "310-242-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SLEEP SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "SHAD",
        "authorized_official_middle_name": "LONDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-531-6595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "63667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.