Organization Active NPI

Superior Sleep and Wellness of Conejo Valley LLC

  • Customized Equipment (DME)
  • Westlake Village, CA
National Provider Identifier
1962069005
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
SUPERIOR SLEEP AND WELLNESS OF CONEJO VALLEY LLC
Practice address
1240 S Westlake Blvd Ste 131
Westlake Village, CA 91361-1932
Phone
(818) 889-7779
NPI assigned
May 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Authorized official

Name
Dr. Frank Holecek, DDSNPI 1730263518
Title
President
Phone
(248) 912-7616

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1240 S Westlake Blvd Ste 131
Westlake Village, CA 91361-1932

Mailing address

2510 S Rochester Rd Ste B
Rochester Hills, MI 48307-3817

National Provider Directory

National Provider Directory

Locations

1240 S Westlake Blvd
Ste 131
Westlake Village, CA 91361
Phone (805) 256-1125

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": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1962069005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 S ROCHESTER RD STE B",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S WESTLAKE BLVD STE 131",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611932",
            "telephone_number": "818-889-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR SLEEP AND WELLNESS OF CONEJO VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "HOLECEK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-912-7616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

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