TMJ of Arizona LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TMJ OF ARIZONA LLC

Doing business as

Core Sleep Solutions

Practice address

575 W Chandler Blvd
Ste 127
Chandler, AZ 85225-7541

Phone

(602) 866-1429

Fax

(602) 866-1437

NPI assigned

Aug 5, 2014

Organization subpart

No

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

Authorized official

Name

Gary J Core, DDSNPI 1215156799

Title

Member

Phone

(602) 866-1429

Specialties & licenses 1

Addresses

Other names 1

• Core Sleep Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• TMJ of Arizona LLC

  dba Core Sleep Solutions

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1376815779

  8325200827

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• TMJ of Arizona LLC

  dba Core Sleep Solutions

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1376815779

  O20120621000401

  Same enrollment

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary J Core, DDS

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1215156799
  NPD Authorized official
• Warren Herman Tripp Jr., M.D.

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1174633234
  NPD (past)
• Veena Kanti, DDS, MDS

  • Orofacial Pain Dentistry
  • Plano, TX
  • NPI 1841825171

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1891104790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13821 N 35TH DR",
            "address_2": "#1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850535541",
            "telephone_number": "602-866-1429",
            "fax_number": "602-866-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 W CHANDLER BLVD",
            "address_2": "STE 127",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257541",
            "telephone_number": "602-866-1429",
            "fax_number": "602-866-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMJ OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "CORE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-866-1429",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Sleep Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jillian Renee Tisdale
• Kaitlin Titsworth
• Dominic Titus
• TKB Care LLC
• TLC Neurological Services, LLC
• TNC Senior Care Solutions (The Next Chapter Senior Care Solutions)
• Bianca Toad
• Toba Med Trans LLC
• Delia Bautista Tobin, CRNFA
• Emily Eleanor Branigan Tobin, NP

• Durable Medical Equipment & Medical Supplies in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.