Active NPI
Lakeview Sleep Solutions LLC
- Customized Equipment (DME)
- Ronceverte, WV
National Provider Identifier
1699588525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- LAKEVIEW SLEEP SOLUTIONS LLC
- Practice address
- 130 Cedar Knoll Dr
Ronceverte, WV 24970-8382 - Phone
- (304) 645-2333
- Fax
- (304) 647-5932
- NPI assigned
- Jan 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dina Vaughan
- Title
- Office Manager
- Phone
- (304) 645-2333
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
130 Cedar Knoll Dr
Ronceverte, WV 24970-8382
Mailing address
130 Cedar Knoll Dr
Ronceverte, WV 24970-8382
Phone (304) 645-2333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260101000033 | WV | DME Supplier - Oral Surgery - Dentist | 3476049172 | Practice locations: Ronceverte, WV |
National Provider Directory
National Provider DirectoryLocations
130 Cedar Knoll Dr
Ronceverte, WV 24970
Phone (304) 645-2333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Ronceverte, WV
- NPI 1972523678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1699588525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 CEDAR KNOLL DR",
"city": "RONCEVERTE",
"state": "WV",
"postal_code": "249708382",
"telephone_number": "304-645-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CEDAR KNOLL DR",
"city": "RONCEVERTE",
"state": "WV",
"postal_code": "249708382",
"telephone_number": "304-645-2333",
"fax_number": "304-647-5932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVIEW SLEEP SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A",
"authorized_official_last_name": "VAUGHAN",
"authorized_official_first_name": "DINA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "304-645-2333"
},
"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": []
}
Other providers in Ronceverte, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.