Organization Active NPI

Sleep Well Oklahoma LLC

  • Public Health Dentistry
  • Oklahoma City, OK
National Provider Identifier
1497490965
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
SLEEP WELL OKLAHOMA LLC
Practice address
3621 NW 63Rd St Ste C
Oklahoma City, OK 73116-2041
Phone
(405) 848-8839
NPI assigned
Apr 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Kameliya Chervilov, DDSNPI 1447746565
Title
Owner
Phone
(405) 588-2368

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

3621 NW 63Rd St Ste C
Oklahoma City, OK 73116-2041

Mailing address

3621 NW 63Rd St Ste C
Oklahoma City, OK 73116-2041
Phone (405) 848-8839

Other identifiers 1

IdentifierTypeStateIssuer
7038OtherOKLICENSE

National Provider Directory

National Provider Directory

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": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1497490965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 NW 63RD ST STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731162041",
            "telephone_number": "405-848-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 NW 63RD ST STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731162041",
            "telephone_number": "405-848-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP WELL OKLAHOMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "CHERVILOV",
        "authorized_official_first_name": "KAMELIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-588-2368",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7038",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.