Phoenix Sleep Solutions, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PHOENIX SLEEP SOLUTIONS, LLC

Practice address

2355 Fairview Ave N
# 123
Roseville, MN 55113-2724

Phone

(877) 311-6731

Fax

(855) 844-8083

NPI assigned

Dec 31, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Micheal McDermand, RRT

Title

Ceo

Phone

(877) 311-6731

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1740678630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 FAIRVIEW AVE N",
            "address_2": "# 123",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132724",
            "telephone_number": "877-311-6731",
            "fax_number": "855-844-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 FAIRVIEW AVE N",
            "address_2": "# 123",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132724",
            "telephone_number": "877-311-6731",
            "fax_number": "855-844-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX SLEEP SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "MCDERMAND",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-311-6731",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Phelan, M.D
• Jeffrey S Phelan, MD
• Jonathan Allen Phelan, D.O.
• Jacquelin A Phelps
• Jenna Grace Phelps
• Physicians Neck & Back Clinics
• Physicians Neck and Back Clinics PA
• Erika Tyyne Pieniniemi, MPS, LPCC, LADC
• Kelly Pieper, MSW, LICSW
• Jennifer Lee Pinion, LMFT

• Customized Equipment (DME) in Roseville, MN
• Providers in Roseville, MN by specialty
• Customized Equipment (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.