Organization Active NPI

Sleepy Fox LLC

  • Cardiovascular Disease Physician
  • Clinton Township, MI
National Provider Identifier
1265690408
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301043632 Issued in MI
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

Updated by the provider on Jul 15, 2008

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 4301043632 MI Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.