Organization Active NPI

Medina Dental Sleep Solutions LLC

  • General Practice Dentistry
  • Medina, OH
National Provider Identifier
1265051874
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MEDINA DENTAL SLEEP SOLUTIONS LLC
Practice address
3617 Reserve Commons Dr
Medina, OH 44256-8179
Phone
(330) 722-7060
NPI assigned
Apr 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Dr. Sailaja G Reddy, DMDNPI 1356445043
Title
Dr/ Owner
Phone
(330) 573-4606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3617 Reserve Commons Dr
Medina, OH 44256-8179

Mailing address

3617 Reserve Commons Dr
Medina, OH 44256-8179
Phone (330) 722-7060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200930003784 OH DME Supplier - Oral Surgery - Dentist 2769801356 Practice locations: Medina, OH

National Provider Directory

National Provider Directory

Locations

3617 Reserve Commons Dr
Medina, OH 44256
Phone (330) 722-7060

Practitioners & affiliated clinicians

Practitioners 1

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": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1265051874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 RESERVE COMMONS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568179",
            "telephone_number": "330-722-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 RESERVE COMMONS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568179",
            "telephone_number": "330-722-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA DENTAL SLEEP SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SAILAJA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DR/ OWNER",
        "authorized_official_telephone_number": "330-573-4606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.