Provident Sleep Solutions PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PROVIDENT SLEEP SOLUTIONS PLLC

Practice address

40105 Grand River Ave
Novi, MI 48375-2170

Phone

(248) 471-0345

Fax

(248) 471-0671

NPI assigned

Sep 21, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Sunil Thakur

Title

Business Director

Phone

(734) 678-8288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan Jeffrey Kessler, D.D.S.

  • General Practice Dentistry
  • Novi, MI
  • NPI 1922027564
  Medicare reassignment
• Chelsea Tremonti, DDS

  • Dentist
  • Novi, MI
  • NPI 1558932178
  NPD

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346759370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40105 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752170",
            "telephone_number": "248-471-0345",
            "fax_number": "248-471-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40105 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752170",
            "telephone_number": "248-471-0345",
            "fax_number": "248-471-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENT SLEEP SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THAKUR",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "734-678-8288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Hospital
• Providence Park Anesthesia Associates, PC
• Providence Park Internal Medicine PC
• Providence Ventures, LLC
• Provident Dentistry
• Tameka Pryor
• Tamarah Przybyla
• Jennifer Kaye Publow
• Angela Pucciarelli
• Radu Puchiu

• Dentist in Novi, MI
• Providers in Novi, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.