Slow Wave, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SLOW WAVE, INC.

Practice address

617 N US 281
Marble Falls, TX 78654-5141

Phone

(830) 220-5700

Fax

(830) 220-5701

NPI assigned

Oct 28, 2020

Last updated

Sep 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wayne R Wagner, OWNER

Title

Ceo

Phone

(281) 787-5589

Specialties & licenses 2

Addresses

Other identifiers 6

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1285234468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26100 COUNTRYSIDE DR",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786691362",
            "telephone_number": "210-379-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N US 281",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545141",
            "telephone_number": "830-220-5700",
            "fax_number": "830-220-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLOW WAVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-787-5589",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE EAST",
            "identifier": "76041759786540000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "901-51505",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDRH FDA CLEARED SLOW WAVE, INC. SLOW WAVE DS8 ANTI-SNORING SLEEP APNEA",
            "identifier": "10078388",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "NG92V",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "535244",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDRH FDA CLEARED K191320 SLOW WAVE, INC. MEDICAL DEVICE SLOW WAVE DS8",
            "identifier": "K191320",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin R Shelly, M.D.
• Sidney Shinkawa, MD
• Andrey Shlyakt, PHARM D
• Mazen Nezar Shobassy, MD
• Brenda Suzanne Sikkema-Sykes, MS, LPC
• Debra Lynn Smith, PHYSICIAN ASSISTANT
• Laura G. Snavely, MA, MS CCC-SLP
• SNH SE Tenant TRS, Inc (Gateway Villas)
• SNH SE Tenant TRS, Inc (Gateway Gardens)
• SNH SE Tenant TRS, Inc (Gateway Gardens)

• Customized Equipment (DME) in Marble Falls, TX
• Providers in Marble Falls, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.