Organization Active NPI

Sleep Better Dental Medicine of the Main Line

  • Dental Clinic/Center
  • Bryn Mawr, PA
National Provider Identifier
1407419799
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SLEEP BETTER DENTAL MEDICINE OF THE MAIN LINE
Practice address
919 Conestoga Rd
Bryn Mawr, PA 19010-1352
Phone
(610) 234-3881
NPI assigned
Apr 22, 2019
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
AMY SHOUMER DMD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Amy Shoumer, DMDNPI 1932228335
Title
Owner
Phone
(610) 234-3881

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary
Customized Equipment (DME) 332BC3200X NU

Addresses

Primary practice location

919 Conestoga Rd
Bryn Mawr, PA 19010-1352

Mailing address

919 Conestoga Rd
Building One Suite 100
Bryn Mawr, PA 19010
Phone (610) 234-3881

Other names 1

  • Amy Shoumer DMD Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@dramyshoumer.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200421002764 PA DME Supplier - Oral Surgery - Dentist 1153751896 Practice locations: Bryn Mawr, PA

National Provider Directory

National Provider Directory
Part of
Amy Shoumer DMD PC

Locations

919 Conestoga Rd
Bryn Mawr, PA 19010
Phone (610) 234-3881

919 Conestoga Rd
Bldg One
Bryn Mawr, PA 19010
Phone (610) 234-3881

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1407419799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD",
            "address_2": "BUILDING ONE SUITE 100",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-234-3881",
            "fax_number": "610-525-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-234-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP BETTER DENTAL MEDICINE OF THE MAIN LINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMY SHOUMER DMD, PC",
        "enumeration_date": "2019-04-22",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "SHOUMER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-234-3881",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@dramyshoumer.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "919 Conestoga Road",
            "address_2": "Building One Suite 100",
            "city": "Bryn Mawr",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amy Shoumer DMD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Amy Shoumer DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.