Organization Active NPI

Power Sleep Az LLC

  • General Practice Dentistry
  • Gilbert, AZ
National Provider Identifier
1942078571
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on May 24, 2024

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

Authorized official

Name
Dr. Bruce Lauren Herr Jr., DDSNPI 1316105331
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20240227002002 AZ DME Supplier - Oral Surgery - Dentist 8123463478 Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.