Organization Active NPI

Lakeview Sleep Solutions LLC

  • Customized Equipment (DME)
  • Ronceverte, WV
National Provider Identifier
1699588525
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
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

Updated by the provider on Jan 27, 2025

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20260101000033 WV DME Supplier - Oral Surgery - Dentist 3476049172 Practice locations: Ronceverte, WV

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.