NPIMap

Organization Active NPI

Coastal Sleep Sollutions LLC

  • Dentist
  • Savannah, GA
National Provider Identifier
1922364629
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
C-A8412 Issued in GA
Legal business name
COASTAL SLEEP SOLLUTIONS LLC
Practice address
413 W Duffy St
Savannah, GA 31401-6716
Phone
(912) 544-0484
Fax
(912) 234-2844
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Dr. Philip W. Cooper Jr., D.D.S.NPI 1922165075
Title
Clinacal Director
Phone
(912) 544-0484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X C-A8412 GA Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

413 W Duffy St
Savannah, GA 31401-6716

Mailing address

413 W Duffy St
Savannah, GA 31401-6716
Phone (912) 544-0484

Other names 1

  • Coastal Sleep Solutions Other name

National Provider Directory

National Provider Directory

Locations

413 W Duffy St
Savannah, GA 31401
Phone (912) 234-5003

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1922364629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W DUFFY ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314016716",
            "telephone_number": "912-544-0484",
            "fax_number": "912-234-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W DUFFY ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314016716",
            "telephone_number": "912-544-0484",
            "fax_number": "912-234-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SLEEP SOLLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CLINACAL DIRECTOR",
        "authorized_official_telephone_number": "912-544-0484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "C-A8412",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Sleep Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.