Provider Demographics
NPI:1154900157
Name:HYPNOS LLC
Entity type:Organization
Organization Name:HYPNOS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JYOTHI
Authorized Official - Middle Name:
Authorized Official - Last Name:KUDASOMANNAVAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:303-243-5122
Mailing Address - Street 1:20293 E BELLEVIEW PL
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-5226
Mailing Address - Country:US
Mailing Address - Phone:614-519-1190
Mailing Address - Fax:
Practice Address - Street 1:16522 KEYSTONE BLVD STE T
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3302
Practice Address - Country:US
Practice Address - Phone:303-243-5122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty