NPIMap

Organization Active NPI

The Center for Sleep Apnea and TMJ PA

  • General Practice Dentistry
  • Meridian, ID
National Provider Identifier
1003969288
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D3199 Issued in ID
Legal business name
THE CENTER FOR SLEEP APNEA AND TMJ PA
Practice address
1718 S. Millennium Way
Meridian, ID 83642-1511
Phone
(208) 376-3600
Fax
(208) 376-3616
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Cameron Kuehne, DMD, MSNPI 1013145754
Title
Owner
Phone
(208) 376-3600

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D3199 ID Primary

Addresses

Primary practice location

1718 S. Millennium Way
Meridian, ID 83642-1511

Mailing address

1718 S. Millennium Way
Meridian, ID 83642-1511
Phone (208) 376-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060503000084 ID Part B Supplier - Clinic/Group Practice 9537179726 Receives reassigned benefits from 2 practitioners
Practice locations: Boise, ID
O20100930044464 ID DME Supplier - Oral Surgery - Dentist 9537179726 Practice locations: Meridian, ID

National Provider Directory

National Provider Directory
Tax ID family
Center for Sleep Apnea2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8119 W Ustick Rd
#103
Boise, ID 83704
Phone (208) 376-3600

8119 W Ustick Rd
Boise, ID 83704
Phone (208) 376-3600

1718 S Millenium Way
Meridian, ID 83642
Phone (208) 376-3600

Practitioners & affiliated clinicians

Practitioners 4

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1003969288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 S. MILLENNIUM WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421511",
            "telephone_number": "208-376-3600",
            "fax_number": "208-376-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 S. MILLENNIUM WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421511",
            "telephone_number": "208-376-3600",
            "fax_number": "208-376-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR SLEEP APNEA AND TMJ PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "KUEHNE",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-376-3600",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.