NPIMap

Organization Active NPI

Dental Sleep Med Systems, Inc.

  • Dentist
  • Modesto, CA
National Provider Identifier
1730473034
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
26675 Issued in CA
Legal business name
DENTAL SLEEP MED SYSTEMS, INC.
Practice address
3025 McHenry Ave
Suite N
Modesto, CA 95350-1466
Phone
(209) 527-1995
Fax
(866) 527-2335
NPI assigned
Jun 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Dr. Marty Richard Lipsey, D.D.S., M.S.
Title
President
Phone
(209) 527-1995

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 26675 CA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 27009 TX

Addresses

Primary practice location

3025 McHenry Ave
Suite N
Modesto, CA 95350-1466

Mailing address

3025 McHenry Ave
Suite N
Modesto, CA 95350-1466
Phone (209) 527-1995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1730473034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 MCHENRY AVE",
            "address_2": "SUITE N",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501466",
            "telephone_number": "209-527-1995",
            "fax_number": "866-527-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 MCHENRY AVE",
            "address_2": "SUITE N",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501466",
            "telephone_number": "209-527-1995",
            "fax_number": "866-527-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SLEEP MED SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "LIPSEY",
        "authorized_official_first_name": "MARTY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-527-1995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "26675",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.