Organization Active NPI

Center for Dental Sleep Medicine, PC

  • Dental Clinic/Center
  • Springfield, MA
National Provider Identifier
1568092377
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CENTER FOR DENTAL SLEEP MEDICINE, PC
Practice address
1795 Main St Ste 108
Springfield, MA 01103-1078
Phone
(413) 732-7208
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Joseph Ting, DMDNPI 1932381407
Title
Dentist
Phone
(732) 241-9497

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1795 Main St Ste 108
Springfield, MA 01103-1078

Mailing address

1795 Main St Ste 108
Springfield, MA 01103-1078
Phone (413) 732-7208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200710002977 MA DME Supplier - Oral Surgery - Dentist 2264855089 Practice locations: Springfield, MA

National Provider Directory

National Provider Directory

Locations

1795 Main St
Ste 108
Springfield, MA 01103
Phone (413) 732-7208

Practitioners & affiliated clinicians

Practitioners 2

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": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1568092377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 MAIN ST STE 108",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031078",
            "telephone_number": "413-732-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 MAIN ST STE 108",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031078",
            "telephone_number": "413-732-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DENTAL SLEEP MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "TING",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-241-9497",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.