Organization Active NPI

Sandman Sleep Services LLC

Doing business as Sandman Medical

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
National Provider Identifier
1760955595
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SANDMAN SLEEP SERVICES LLC
Doing business as
Sandman Medical
Practice address
4500 Mercantile Plaza Dr Ste 347
Fort Worth, TX 76137-4225
Phone
(817) 818-7599
NPI assigned
Jan 3, 2019
Last updated
Jan 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Matthew Thomas Kozak
Title
Ceo / Owner
Phone
(817) 818-7599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4500 Mercantile Plaza Dr Ste 347
Fort Worth, TX 76137-4225

Mailing address

4500 Mercantile Plaza Dr Ste 347
Fort Worth, TX 76137-4225
Phone (817) 818-7599

Other names 1

  • Sandman Medical Doing business as

National Provider Directory

National Provider Directory

Locations

4500 Mercantile Plaza Dr
Ste 347
Fort Worth, TX 76137
Phone (817) 818-7599

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1760955595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MERCANTILE PLAZA DR STE 347",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374225",
            "telephone_number": "817-818-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MERCANTILE PLAZA DR STE 347",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374225",
            "telephone_number": "817-818-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDMAN SLEEP SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "KOZAK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "817-818-7599"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandman Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.