Organization Active NPI

Progressive Sleep & Wellness PLLC

  • General Practice Dentistry
  • Gilbert, AZ
National Provider Identifier
1629426507
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D4682 Issued in AZ
Legal business name
PROGRESSIVE SLEEP & WELLNESS PLLC
Practice address
3303 E Baseline Rd Ste 105
Gilbert, AZ 85234-2739
Phone
(480) 507-1993
Fax
(480) 507-3876
NPI assigned
Jun 1, 2016
Last updated
Jun 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Mrs. Jennifer Eileen Richey
Title
Billing/Financial Manager
Phone
(480) 507-1993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D4682 AZ Primary

Addresses

Primary practice location

3303 E Baseline Rd Ste 105
Gilbert, AZ 85234-2739

Mailing address

3303 E Baseline Rd Ste 105
Gilbert, AZ 85234-2739
Phone (480) 507-1993

National Provider Directory

National Provider Directory

Locations

3303 E Baseline Rd
Ste 105
Gilbert, AZ 85234
Phone (480) 507-1993

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1629426507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342739",
            "telephone_number": "480-507-1993",
            "fax_number": "480-507-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342739",
            "telephone_number": "480-507-1993",
            "fax_number": "480-507-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SLEEP & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "RICHEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "BILLING/FINANCIAL MANAGER",
        "authorized_official_telephone_number": "480-507-1993",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.