Sleep Well Southeast Texas LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SLEEP WELL SOUTHEAST TEXAS LLC

Practice address

3033 Marina Bay Dr Ste 230
League City, TX 77573-3982

Phone

(281) 222-9924

NPI assigned

Jun 30, 2021

Organization subpart

No

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

Authorized official

Name

Derek Tieken, DDS

Title

Owner

Phone

(281) 222-9924

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• J Derek Tieken, D.D.S.

  • Dentist
  • League City, TX
  • NPI 1164518007
  NPD
• Emily D'Aun Dennis, DDS

  • General Practice Dentistry
  • Brock, TX
  • NPI 1861054991
  NPD (past)

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1356911440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 MARINA BAY DR STE 230",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733982",
            "telephone_number": "281-222-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 MARINA BAY DR STE 230",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733982",
            "telephone_number": "281-222-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP WELL SOUTHEAST TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "TIEKEN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-222-9924",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sistas Medical Transportation
• Sisters With Ambition LLC (Homewatch CareGivers of League City)
• Thomas Michael Skinner, M.D.
• Leah Marye Skladal
• Belinda Kay Skloss, LPC
• SMGS PC (Bay Colony EyeCare)
• Smith Psychological Services, PLLC
• Aspen Smith
• Brent Warren Smith, LP, PHD
• Danielle Justine Smith, M.S., CCC-SLP

• General Practice Dentistry in League City, TX
• Providers in League City, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.