Mystic Center for Sleep Apnea and Snoring LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MYSTIC CENTER FOR SLEEP APNEA AND SNORING LLC

Practice address

158 Everett Ave Unit 5
Chelsea, MA 02150-1811

Phone

(617) 820-9591

NPI assigned

Aug 23, 2023

Last updated

Aug 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Aida Padron

Title

Owner

Phone

(617) 820-9591

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aida P Padron Costas, DMD

  • Dentist
  • Chelsea, MA
  • NPI 1962604330
  NPD

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1861276461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 EVERETT AVE UNIT 5",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021501811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 EVERETT AVE UNIT 5",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021501811",
            "telephone_number": "617-820-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSTIC CENTER FOR SLEEP APNEA AND SNORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "PADRON",
        "authorized_official_first_name": "AIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-820-9591",
        "authorized_official_name_prefix": "Dr."
    },
    "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": [],
    "endpoints": [],
    "other_names": []
}

• Deyci Alexandra Munoz
• Jacobita Munoz
• Kyle J Murphy
• Sara Murphy
• Gabriella F Muscolo, MD
• Mystic Dental Studio PC
• Isabel Nadal
• Amanda Najm
• Michael J Nappo, LICSW
• Liisa Narhi, DPT

• Customized Equipment (DME) in Chelsea, MA
• Providers in Chelsea, MA by specialty
• Customized Equipment (DME) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.