NPIMap

Organization Active NPI

Sleep Easy Dental Spa LLC

  • Clinic/Center
  • Newton Falls, OH
National Provider Identifier
1326404583
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
15223 Issued in OH
Legal business name
SLEEP EASY DENTAL SPA LLC
Practice address
2000 Milton Blvd
Newton Falls, OH 44444-9793
Phone
(330) 872-5737
Fax
(330) 872-7400
NPI assigned
Jan 4, 2016
Organization subpart
Yes
Parent organization
SLEEP EASY DENTAL SPA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Authorized official

Name
Dr. Charles Robert Verbanic, D.D.S.NPI 1063444750
Title
Dentist
Phone
(330) 872-5737

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 15223 OH Primary
Durable Medical Equipment & Medical Supplies 332B00000X 30.15233 OH
Durable Medical Equipment & Medical Supplies 332B00000X 30.024283 OH
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2000 Milton Blvd
Newton Falls, OH 44444-9793

Mailing address

127 Churchill Hubbard Rd
Youngstown, OH 44505-1386
Phone (330) 759-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170724001505 OH DME Supplier - Oral Surgery - Dentist 7416227541 Practice locations: Newton Falls, OH

National Provider Directory

National Provider Directory
Part of
Sleep Easy Dental Spa LLC

Locations

2000 Milton Blvd
Newton Falls, OH 44444
Phone (330) 872-5737

127 Churchill Hubbard Rd
Youngstown, OH 44505
Phone (330) 759-4550

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1326404583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CHURCHILL HUBBARD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051386",
            "telephone_number": "330-759-4550",
            "fax_number": "330-759-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MILTON BLVD",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444449793",
            "telephone_number": "330-872-5737",
            "fax_number": "330-872-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP EASY DENTAL SPA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SLEEP EASY DENTAL SPA LLC",
        "enumeration_date": "2016-01-04",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "VERBANIC",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "330-872-5737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "15223",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "30.15233",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "30.024283",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.