Organization Active NPI

Coast to Coast Sleep PC

  • Customized Equipment (DME)
  • Duluth, GA
National Provider Identifier
1982446340
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
COAST TO COAST SLEEP PC
Practice address
2931 Grey Moss Pass
Duluth, GA 30097-6274
Phone
(631) 374-3410
NPI assigned
Jun 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Kevin Eatmon, DDS
Title
Medical Director
Phone
(631) 374-3410

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2931 Grey Moss Pass
Duluth, GA 30097-6274

Mailing address

2437 Rockville Centre Pkwy
Oceanside, NY 11572-1622
Phone (516) 640-7401

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1982446340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 ROCKVILLE CENTRE PKWY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721622",
            "telephone_number": "516-640-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 GREY MOSS PASS",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300976274",
            "telephone_number": "631-374-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST TO COAST SLEEP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "EATMON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "631-374-3410",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.