Sleep Pro LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SLEEP PRO LLC

Practice address

901 Eastern Boulevard
Suite 200
Essex, MD 21221-3416

Phone

(410) 682-5500

Fax

(410) 686-3803

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Lawrence L Rubin, M.D.

Title

Partner

Phone

(410) 933-5678

Specialties & licenses 1

Addresses

Other names 1

• Sleep Pro Maryland Doing business as

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1699212886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 PULASKI PARK DRIVE",
            "address_2": "SUITE 416",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212201409",
            "telephone_number": "410-933-5678",
            "fax_number": "410-238-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 EASTERN BOULEVARD",
            "address_2": "SUITE 200",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213416",
            "telephone_number": "410-682-5500",
            "fax_number": "410-686-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP PRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-933-5678",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Pro Maryland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.