Active NPI
Serenity Sleep, LLC
- Dental Clinic/Center
- Fargo, ND
National Provider Identifier
1306437926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SERENITY SLEEP, LLC
- Practice address
- 3633 Lincoln St S Ste C
Fargo, ND 58104-7771 - Phone
- (701) 373-0681
- Fax
- (701) 373-0684
- NPI assigned
- Jan 27, 2021
- 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
- Shandra Rosenfeldt, DDS
- Title
- Dentist, President
- Phone
- (701) 373-0681
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
3633 Lincoln St S Ste C
Fargo, ND 58104-7771
Mailing address
3633 Lincoln St S Ste C
Fargo, ND 58104-7771
Phone (701) 373-0681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210923001126 | ND | DME Supplier - Oral Surgery - Dentist | 0648677377 | Practice locations: Fargo, ND |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Fargo, ND
- NPI 1740386853
-
- General Practice Dentistry
- Fergus Falls, MN
- NPI 1588319354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629763200000",
"number": "1306437926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 LINCOLN ST S STE C",
"city": "FARGO",
"state": "ND",
"postal_code": "581047771",
"telephone_number": "701-373-0681",
"fax_number": "701-373-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3633 LINCOLN ST S STE C",
"city": "FARGO",
"state": "ND",
"postal_code": "581047771",
"telephone_number": "701-373-0681",
"fax_number": "701-373-0684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY SLEEP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-27",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A",
"authorized_official_last_name": "ROSENFELDT",
"authorized_official_first_name": "SHANDRA",
"authorized_official_title_or_position": "DENTIST, PRESIDENT",
"authorized_official_telephone_number": "701-373-0681",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.