Organization Active NPI

Peak Sleep Wellness LLC

  • Dentist
  • Logan, UT
National Provider Identifier
1891380937
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PEAK SLEEP WELLNESS LLC
Practice address
981 S Main St Ste 260
Logan, UT 84321-6083
Phone
(435) 757-8749
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
David GordonNPI 1770716045
Title
Owner
Phone
(435) 757-8749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

981 S Main St Ste 260
Logan, UT 84321-6083

Mailing address

594 S 380 W
Providence, UT 84332-8503
Phone (435) 757-8749

Other practice location 1

594 S 380 W
Providence, UT 84332-8503
Phone (435) 757-8749

National Provider Directory

National Provider Directory

Locations

981 S Main St
Ste 260
Logan, UT 84321
Phone (435) 757-8749

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1891380937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 S 380 W",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843328503",
            "telephone_number": "435-757-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 S MAIN ST STE 260",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216083",
            "telephone_number": "435-757-8749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "594 S 380 W",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "UT",
            "postal_code": "843328503",
            "country_code": "US",
            "telephone_number": "435-757-8749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEAK SLEEP WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-04-14",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-757-8749"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.