Organization Active NPI

Emerald Coast Dental Sleep Solutions, Inc.

  • General Practice Dentistry
  • Pensacola, FL
National Provider Identifier
1235865551
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EMERALD COAST DENTAL SLEEP SOLUTIONS, INC.
Practice address
1301 N Palafox St Ste 140
Pensacola, FL 32501-2686
Phone
(850) 466-7775
Fax
(855) 631-0284
NPI assigned
Jul 28, 2022
Last updated
Jun 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Ms. Amie J McMullen, CRDH
Title
Office Manager
Phone
(850) 466-7775

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1301 N Palafox St Ste 140
Pensacola, FL 32501-2686

Mailing address

1301 N Palafox St Ste 140
Pensacola, FL 32501-2686
Phone (850) 466-7775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240322002783 FL DME Supplier - Oral Surgery - Dentist 0143667394 Practice locations: Pensacola, FL
O20251002005142 FL Part B Supplier - Clinic/Group Practice 0143667394 Receives reassigned benefits from 1 practitioner
Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory

Locations

1301 N Palafox St
Ste 140
Pensacola, FL 32501
Phone (850) 466-7775

Practitioners & affiliated clinicians

Practitioners 1

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": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1235865551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N PALAFOX ST STE 140",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012686",
            "telephone_number": "850-466-7775",
            "fax_number": "855-631-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N PALAFOX ST STE 140",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012686",
            "telephone_number": "850-466-7775",
            "fax_number": "855-631-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST DENTAL SLEEP SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "AMIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-466-7775",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRDH"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.