East Bay Sleep Management

Primary specialty

DentistTaxonomy code 122300000X

License

22329 Issued in CA

Legal business name

EAST BAY SLEEP MANAGEMENT

Practice address

6116 Merced Ave
Oakland, CA 94611-2917

Phone

(925) 339-2792

Fax

(925) 339-3159

NPI assigned

Feb 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Lloyd Childers, DDSNPI 1447275672

Title

Onwer

Phone

(510) 339-2792

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Lloyd Childers, DDS

  • General Practice Dentistry
  • Oakland, CA
  • NPI 1447275672
  NPD (past) Authorized official

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1992163703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 MERCED AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112917",
            "telephone_number": "925-339-2792",
            "fax_number": "925-339-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 MERCED AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112917",
            "telephone_number": "925-339-2792",
            "fax_number": "925-339-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY SLEEP MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "510-339-2792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "22329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Bay Physician'S Medical Group
• East Bay Primary Care Medical Group, Inc.
• East Bay Regional Critical Care and Pulmonary Medicine, Inc.
• East Bay Retina Consultants a Medical Group, Inc.
• East Bay Retina Consultants a Medical Group, Inc.
• East Bay Special Imaging
• East Bay Special Imaging Medical Group, Inc.
• East Bay Special Surgery LLC
• East Bay Vascular Medical Group
• East Bay Vision Center Optometry Inc

• Dentist in Oakland, CA
• Providers in Oakland, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.