United Dental Sleep Medicine, PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

UNITED DENTAL SLEEP MEDICINE, PLLC

Practice address

9020 Lorton Station Blvd Unit F104
Lorton, VA 22079-4750

Phone

(804) 625-4066

Fax

(804) 414-7491

NPI assigned

Dec 24, 2018

Last updated

Dec 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Pagano, DDSNPI 1275910978

Title

Owner

Phone

(804) 625-4066

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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.

• Michael Stephen Pagano, DDS

  • Dentist
  • Glen Allen, VA
  • NPI 1275910978
  NPD (past) Authorized official

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

{
    "created_epoch": "1545609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545609600000",
    "number": "1396217717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 SPINNAKER COVE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122128",
            "telephone_number": "804-625-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 LORTON STATION BLVD UNIT F104",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794750",
            "telephone_number": "804-625-4066",
            "fax_number": "804-414-7491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10120 W Broad St Ste I",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230606709",
            "country_code": "US",
            "telephone_number": "804-625-4066",
            "fax_number": "804-414-7491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITED DENTAL SLEEP MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-24",
        "last_updated": "2018-12-24",
        "status": "A",
        "authorized_official_last_name": "PAGANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-625-4066",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lorton, VA
• Providers in Lorton, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.