Sleep Well Idaho LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SLEEP WELL IDAHO LLC

Practice address

199 Quail Hollow Rd
Logan, UT 84321-6750

Phone

(435) 881-7270

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Monte Carlson, DDS

Title

Dentist

Phone

(435) 881-7270

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1821589516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 QUAIL HOLLOW RD",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216750",
            "telephone_number": "435-881-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 QUAIL HOLLOW RD",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216750",
            "telephone_number": "435-881-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP WELL IDAHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "MONTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "435-881-7270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "H04018",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney R Skabelund, M.D.
• Robert D Skillman
• Brett T Skinner, DDS PC
• Caden Brett Skinner, DMD
• Candace Lee Slater, DPT
• Small Smiles Pediatric Dentistry P.C.
• Jason C Smart, MD
• Katelyn Smartt
• Ashley Kaye Smedley
• Angela Knowles Smith, DPT

• Customized Equipment (DME) in Logan, UT
• Providers in Logan, UT by specialty
• Customized Equipment (DME) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.