Organization Active NPI

Sleep Apnea Clinic LLC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1457133167
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Dr. Marija Mitic, DDSNPI 1922535426
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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250514001264 AZ DME Supplier - Oral Surgery - Dentist 4385162320 Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.