Active NPI
Sleepy Fox LLC
- Cardiovascular Disease Physician
- Clinton Township, MI
National Provider Identifier
1265690408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301043632
- Legal business name
- SLEEPY FOX LLC
- Practice address
- 15855 19 Mile Road
Clinton Township, MI 48038-3504 - Phone
- (800) 235-3138
- Fax
- (937) 395-4415
- NPI assigned
- May 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David H Benaderet, MD
- Title
- Managing Member
- Phone
- (586) 206-0985
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301043632 | MI | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 4301033593 | MI |
Addresses
Primary practice location
15855 19 Mile Road
Clinton Township, MI 48038-3504
Mailing address
3055 Kettering Blvd
Suite 219-B
Dayton, OH 45439-1900
Phone (800) 235-3138
National Provider Directory
National Provider DirectoryLocations
15855 19 Mile Rd
Slp Fox
Clinton Township, MI 48038
Phone (586) 731-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216080000000",
"number": "1265690408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3055 KETTERING BLVD",
"address_2": "SUITE 219-B",
"city": "DAYTON",
"state": "OH",
"postal_code": "454391900",
"telephone_number": "800-235-3138",
"fax_number": "937-395-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15855 19 MILE ROAD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480383504",
"telephone_number": "800-235-3138",
"fax_number": "937-395-4415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEPY FOX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-23",
"last_updated": "2008-07-15",
"status": "A",
"authorized_official_last_name": "BENADERET",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "586-206-0985",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301043632",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301033593",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.