Active NPI
Power Sleep Az LLC
- General Practice Dentistry
- Gilbert, AZ
National Provider Identifier
1942078571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- POWER SLEEP AZ LLC
- Practice address
- 8490 S Power Rd Ste 106
Gilbert, AZ 85297-8029 - Phone
- (480) 382-3314
- Fax
- (480) 580-1788
- NPI assigned
- Dec 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce Lauren Herr Jr., DDS
- Title
- Managing Member
- Phone
- (480) 382-3314
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
8490 S Power Rd Ste 106
Gilbert, AZ 85297-8029
Mailing address
8490 S Power Rd Ste 106
Gilbert, AZ 85297-8029
Phone (480) 382-3314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240227002002 | AZ | DME Supplier - Oral Surgery - Dentist | 8123463478 | Practice locations: Gilbert, AZ |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1702425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716508800000",
"number": "1942078571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8490 S POWER RD STE 106",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852978029",
"telephone_number": "480-382-3314",
"fax_number": "480-580-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8490 S POWER RD STE 106",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852978029",
"telephone_number": "480-382-3314",
"fax_number": "480-580-1788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POWER SLEEP AZ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-13",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A",
"authorized_official_last_name": "HERR",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "LAUREN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "480-382-3314",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.