NPIMap

Organization Active NPI

Poww Sleep, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Port Orange, FL
National Provider Identifier
1346729688
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DN18671 Issued in FL
Legal business name
POWW SLEEP, PLLC
Practice address
1221 Dunlawton Ave Ste 100
Port Orange, FL 32127-8930
Phone
(386) 304-1181
Fax
(386) 304-6401
NPI assigned
Aug 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Dr. John Kulaga, DDSNPI 1659503910
Title
Owner
Phone
(386) 304-1181

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
Durable Medical Equipment & Medical Supplies 332B00000X DN18671 FL Primary

Addresses

Primary practice location

1221 Dunlawton Ave Ste 100
Port Orange, FL 32127-8930

Mailing address

1221 Dunlawton Ave Ste 100
Port Orange, FL 32127-8930
Phone (386) 304-1181

Other names 1

  • White Wolf Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1346729688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 DUNLAWTON AVE STE 100",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278930",
            "telephone_number": "386-304-1181",
            "fax_number": "386-304-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 DUNLAWTON AVE STE 100",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278930",
            "telephone_number": "386-304-1181",
            "fax_number": "386-304-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWW SLEEP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "KULAGA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-304-1181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "DN18671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Wolf Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.