Organization Active NPI

TMJ & Sleep Center LLC

  • Dental Clinic/Center
  • Santa Rosa Beach, FL
National Provider Identifier
1942764287
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TMJ & SLEEP CENTER LLC
Practice address
6757 US Highway 98 W Ste 302
Santa Rosa Beach, FL 32459-4780
Phone
(850) 622-5888
NPI assigned
Jan 30, 2019
Last updated
Jan 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Michael T O'Donnell, DMDNPI 1750478046
Title
Owner
Phone
(850) 622-4000

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6757 US Highway 98 W Ste 302
Santa Rosa Beach, FL 32459-4780

Mailing address

6757 US Highway 98 W Ste 301
Santa Rosa Beach, FL 32459-4780
Phone (850) 622-5888

National Provider Directory

National Provider Directory

Locations

6757 US Highway 98 W
Ste 302
Santa Rosa Beach, FL 32459
Phone (850) 208-1850

Practitioners & affiliated clinicians

Practitioners 6

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": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1942764287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6757 US HIGHWAY 98 W STE 301",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594780",
            "telephone_number": "850-622-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6757 US HIGHWAY 98 W STE 302",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594780",
            "telephone_number": "850-622-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMJ & SLEEP CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-622-4000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.