Organization Active NPI

Dazes LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sheridan, WY
National Provider Identifier
1386540490
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
DAZES LLC
Practice address
30 N Gould St Ste R
Sheridan, WY 82801-6317
Phone
(901) 677-0551
Fax
(877) 700-1870
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Ms. Safia Danish Alam
Title
Ceo
Phone
(201) 461-1997

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary
Pain Medicine Physician 208VP0000X NU

Addresses

Primary practice location

30 N Gould St Ste R
Sheridan, WY 82801-6317

Mailing address

30 N Gould St Ste R
Sheridan, WY 82801-6317
Phone (901) 677-0551

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1386540490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N GOULD ST STE R",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016317",
            "telephone_number": "901-677-0551",
            "fax_number": "877-700-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N GOULD ST STE R",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016317",
            "telephone_number": "901-677-0551",
            "fax_number": "877-700-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAZES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "DANISH ALAM",
        "authorized_official_first_name": "SAFIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-461-1997",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.