Organization Active NPI

Southern Arizona Sleep Solutions

  • Dentist
  • Green Valley, AZ
National Provider Identifier
1548656457
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D5331 Issued in AZ
Legal business name
SOUTHERN ARIZONA SLEEP SOLUTIONS
Practice address
261 W Duval Road
Green Valley, AZ 85614
Phone
(520) 625-0131
Fax
(520) 625-6998
NPI assigned
Apr 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Dawnie Kildo
Title
Owner
Phone
(520) 625-0131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D5331 AZ Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

261 W Duval Road
Green Valley, AZ 85614

Mailing address

261 W Duval Road
Green Valley, AZ 85614
Phone (520) 625-0131

Other names 1

  • Legacy Smiles Of Southern AZ Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1548656457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 W DUVAL ROAD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "85614",
            "telephone_number": "520-625-0131",
            "fax_number": "520-625-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 W DUVAL ROAD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "85614",
            "telephone_number": "520-625-0131",
            "fax_number": "520-625-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ARIZONA SLEEP SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "KILDO",
        "authorized_official_first_name": "DAWNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-625-0131"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5331",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Smiles Of Southern AZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.