NPIMap

Organization Active NPI

Sleep Medicine Associates of Texas, PA

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
National Provider Identifier
1033164876
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SLEEP MEDICINE ASSOCIATES OF TEXAS, PA
Practice address
5477 Glen Lakes Dr
Suite 100
Dallas, TX 75231-0946
Phone
(214) 750-7776
Fax
(214) 750-4621
NPI assigned
May 23, 2006
Last updated
Dec 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Burlin Larry Brewer, BA, RPSGT, RST
Title
Chief Financial Officer
Phone
(214) 750-7776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU Primary

Addresses

Primary practice location

5477 Glen Lakes Dr
Suite 100
Dallas, TX 75231-0946

Mailing address

5477 Glen Lakes Dr
Suite 100
Dallas, TX 75231-0946
Phone (214) 750-7776

Other identifiers 1

IdentifierTypeStateIssuer
085376401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050608001021 TX Part B Supplier - Clinic/Group Practice 2961445077 Receives reassigned benefits from 11 practitioners
Practice locations: Plano, TX; Dallas, TX

National Provider Directory

National Provider Directory

Locations

1105 Central Expy N
Ste 205
Allen, TX 75013

1105 Central Expy N
Ste 2305
Allen, TX 75013

8140 Walnut Hill Ln
Ste 100
Dallas, TX 75231
Phone (214) 343-1353

3604 Preston Rd
Ste 300
Plano, TX 75093
Phone (972) 212-7212

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1033164876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5477 GLEN LAKES DR",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310946",
            "telephone_number": "214-750-7776",
            "fax_number": "214-750-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5477 GLEN LAKES DR",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310946",
            "telephone_number": "214-750-7776",
            "fax_number": "214-750-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP MEDICINE ASSOCIATES OF TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "BURLIN",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "214-750-7776",
        "authorized_official_credential": "BA, RPSGT, RST"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085376401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.