Sound Sleep Medical LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SOUND SLEEP MEDICAL LLC

Doing business as

Sound Sleep Medical

Practice address

3216 N University Ave
Provo, UT 84604-4405

Phone

(801) 921-6113

Fax

(801) 396-7031

NPI assigned

Feb 14, 2018

Last updated

Feb 14, 2018By 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

Dave Larsen

Title

President

Phone

(801) 921-6113

Specialties & licenses 1

Addresses

Other names 1

• Sound Sleep Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Sound Sleep Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Sandy, UT
  • NPI 1659881159

  6002176765

  Same PAC ID

Locations

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1295235422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 N UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044405",
            "telephone_number": "801-921-6113",
            "fax_number": "801-396-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 N UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044405",
            "telephone_number": "801-921-6113",
            "fax_number": "801-396-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND SLEEP MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-921-6113"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sound Sleep Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Toni Sorenson
• Weston Mark Sorenson, DC
• Jackie Soto, PT, DPT
• Marilyn Tucker Soto, MSWI
• Patricia Sotolongo, PSYD
• South Provo PDC PLLC
• Courtenay Anne South
• Samuel Lynn Southam, MD
• Cassandra Southwick
• Jeremiah Southworth

• Customized Equipment (DME) in Provo, UT
• Providers in Provo, UT by specialty
• Customized Equipment (DME) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.