Peninsula Sleep Solutions

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PENINSULA SLEEP SOLUTIONS

Practice address

422 E Lauridsen Blvd
Port Angeles, WA 98362-7952

Phone

(360) 452-4749

Fax

(360) 457-6673

NPI assigned

May 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Todd Haworth, DDSNPI 1083761605

Title

Managing Member

Phone

(360) 452-4749

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd D. Haworth, DDS

  • General Practice Dentistry
  • Port Angeles, WA
  • NPI 1083761605
  NPD Authorized official

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1548827561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 E LAURIDSEN BLVD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627952",
            "telephone_number": "360-452-4749",
            "fax_number": "360-457-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E LAURIDSEN BLVD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627952",
            "telephone_number": "360-452-4749",
            "fax_number": "360-457-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA SLEEP SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "HAWORTH",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "360-452-4749",
        "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": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Behavioral Health
• Peninsula Childrens Clinic Inc
• Peninsula Family Hearing
• Peninsula Foot and Ankle Clinic PLLC
• Peninsula Integrative Chiropractic
• Gwen Pennington
• Edward Kenneth Perez
• Nicole Jacqueline Perez, RBT, CBT
• Susan L Perkins, LMP
• Rebecca Perron

• Customized Equipment (DME) in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Customized Equipment (DME) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.