Organization Active NPI

Sleep Better Healthcare PC

  • Dentist
  • Greenwood, IN
National Provider Identifier
1720443831
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009239 Issued in IN
Legal business name
SLEEP BETTER HEALTHCARE PC
Doing business as
Sleep Better Healthcare
Practice address
3056 W Stones Crossing Rd
Greenwood, IN 46143-6484
Phone
(317) 535-7141
Fax
(317) 535-7142
NPI assigned
Dec 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Dr. Stacy Duane Johnson, D.D.S.NPI 1568511582
Title
President
Phone
(317) 535-7141

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12009239 IN Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3056 W Stones Crossing Rd
Greenwood, IN 46143-6484

Mailing address

3056 W Stones Crossing Rd
Greenwood, IN 46143-6484
Phone (317) 535-7141

Other names 1

  • Sleep Better Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180118001989 IN DME Supplier - Oral Surgery - Dentist 7214296342 Practice locations: Greenwood, IN
O20260414001166 IN Part B Supplier - Clinic/Group Practice 7214296342 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood, IN

National Provider Directory

National Provider Directory

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": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1720443831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 W STONES CROSSING RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436484",
            "telephone_number": "317-535-7141",
            "fax_number": "317-535-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3056 W STONES CROSSING RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436484",
            "telephone_number": "317-535-7141",
            "fax_number": "317-535-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP BETTER HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-535-7141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009239",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Better Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sleep Better Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.