Organization Active NPI

Lakeside Dental Sleep Associates LLC

  • Customized Equipment (DME)
  • Rockwall, TX
National Provider Identifier
1285114249
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
LAKESIDE DENTAL SLEEP ASSOCIATES LLC
Practice address
6705 Heritage Pkwy Ste 100
Rockwall, TX 75087-8728
Phone
(844) 695-7533
NPI assigned
Aug 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Rashid Beirute-Prada, DDS, MDSNPI 1326394982
Title
Owner
Phone
(972) 412-0014

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

6705 Heritage Pkwy Ste 100
Rockwall, TX 75087-8728

Mailing address

6705 Heritage Pkwy Ste 100
Rockwall, TX 75087-8728
Phone (844) 695-7533

National Provider Directory

National Provider Directory

Locations

6705 Heritage Pkwy
Ste 100
Rockwall, TX 75087
Phone (844) 695-7533

6617 Heritage Pkwy
Ste 120
Rockwall, TX 75087
Phone (972) 412-0014

Practitioners & affiliated clinicians

Practitioners 2

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": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1285114249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 HERITAGE PKWY STE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878728",
            "telephone_number": "844-695-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 HERITAGE PKWY STE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878728",
            "telephone_number": "844-695-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE DENTAL SLEEP ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "BEIRUTE-PRADA",
        "authorized_official_first_name": "RASHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-412-0014",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.