SDM Sleepcare Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

40278 Issued in CA

Legal business name

SDM SLEEPCARE INC

Practice address

5436 Riverside Dr
Chino, CA 91710-4206

Phone

(909) 465-5551

Fax

(909) 465-5191

NPI assigned

Apr 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Supriya Dhananjaya Mhaskar, DDS

Title

President

Phone

(909) 973-3492

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1508210899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5436 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104206",
            "telephone_number": "909-465-5551",
            "fax_number": "909-465-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5436 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104206",
            "telephone_number": "909-465-5551",
            "fax_number": "909-465-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDM SLEEPCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "MHASKAR",
        "authorized_official_first_name": "SUPRIYA",
        "authorized_official_middle_name": "DHANANJAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-973-3492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40278",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "40278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Schild
• Daniel Schimmel, LCSW
• Elliott A Schwartz, DDS
• Jeffrey Craig Scott, P.HD.
• Joseph Scott
• Sean S to, MD, Inc
• Sean S. to, MD Inc
• Sean S. to., M.D., Inc
• Alyssa Brianna Segovia
• Yaser Selim, MFTI

• Customized Equipment (DME) in Chino, CA
• Providers in Chino, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.