Organization Active NPI

Virginia Total Sleep PLLC

  • Dentist
  • Midlothian, VA
National Provider Identifier
1497459564
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VIRGINIA TOTAL SLEEP PLLC
Practice address
2354 Colony Crossing PL
Midlothian, VA 23112-4280
Phone
(804) 625-4064
Fax
(804) 625-4066
NPI assigned
Mar 30, 2023
Organization subpart
Yes
Parent organization
VIRGINIA TOTAL SLEEP PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Alexander Thomas VaughanNPI 1992147599
Title
Managing Member
Phone
(616) 540-7605

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Orofacial Pain DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X2210X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2354 Colony Crossing PL
Midlothian, VA 23112-4280

Mailing address

10120 W Broad St Ste I
Glen Allen, VA 23060-6709
Phone (804) 625-4064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190409003477 VA Part B Supplier - Clinic/Group Practice 9638410186 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glen Allen, VA; Midlothian, VA
O20231212003148 VA DME Supplier - Oral Surgery - Dentist 9638410186 Practice locations: Midlothian, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Virginia Total Sleep PLLC

Locations

2354 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 288-6261

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 4

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": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1497459564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 W BROAD ST STE I",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606709",
            "telephone_number": "804-625-4064",
            "fax_number": "804-625-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 COLONY CROSSING PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124280",
            "telephone_number": "804-625-4064",
            "fax_number": "804-625-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA TOTAL SLEEP PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRGINIA TOTAL SLEEP PLLC",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "616-540-7605"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.