Active NPI
Sleep Apnea Clinic LLC
- Dentist
- Phoenix, AZ
National Provider Identifier
1457133167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SLEEP APNEA CLINIC LLC
- Practice address
- 125 W McDowell Rd Ste B
Phoenix, AZ 85003-1223 - Phone
- (240) 715-8035
- NPI assigned
- Oct 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marija Mitic, DDS
- Title
- Dentist, Owner
- Phone
- (240) 715-8035
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
125 W McDowell Rd Ste B
Phoenix, AZ 85003-1223
Mailing address
125 W McDowell Rd Ste B
Phoenix, AZ 85003-1223
Phone (240) 715-8035
Other names 1
- Sleep Apnea and Snoring Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250514001264 | AZ | DME Supplier - Oral Surgery - Dentist | 4385162320 | Practice locations: Phoenix, AZ |
National Provider Directory
National Provider DirectoryLocations
125 W McDowell Rd
Ste B
Phoenix, AZ 85003
Phone (480) 828-7563
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Phoenix, AZ
- NPI 1922535426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740700800000",
"number": "1457133167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 W MCDOWELL RD STE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850031223",
"telephone_number": "240-715-8035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W MCDOWELL RD STE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850031223",
"telephone_number": "240-715-8035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP APNEA CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-17",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A",
"authorized_official_last_name": "MITIC",
"authorized_official_first_name": "MARIJA",
"authorized_official_title_or_position": "DENTIST, OWNER",
"authorized_official_telephone_number": "240-715-8035",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sleep Apnea and Snoring Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.