Emerald Sleep Disorders Center, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EMERALD SLEEP DISORDERS CENTER, LLC

Practice address

1525 12TH St
Florence, OR 97439-9497

Phone

(541) 902-7604

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dainis Irbe, MD

Title

Medical Director

Phone

(541) 683-3325

Specialties & licenses 2

Addresses

Other names 1

• Florence Sleep Disorders Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Emerald Sleep Disorders Center, LLC

  • Clinical Medical Laboratory
  • Eugene, OR
  • NPI 1124080783

  O20040817000518

  Same enrollment
• Emerald Sleep Disorders Center, LLC

  • Clinical Medical Laboratory
  • Springfield, OR
  • NPI 1245436096

  O20040817000518

  Same enrollment

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1043433170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 VILLAGE PLAZA LOOP",
            "address_2": "SUITE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016677",
            "telephone_number": "541-683-3325",
            "fax_number": "541-343-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 12TH ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399497",
            "telephone_number": "541-902-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD SLEEP DISORDERS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "IRBE",
        "authorized_official_first_name": "DAINIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "541-683-3325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florence Sleep Disorders Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nikolai Dunlap
• Catherine Ebel, ASCP PBT
• John W Egar, M.D.
• Elderberry Square Community, LLC
• Linda M Elliott, CRNA
• Kimberly England, CMHC
• Beth E. Erickson, LCSW
• Kathy A Evans
• Teresa Faillace, LCSW
• Alec Fedorov, M.D.

• All providers in Florence, OR
• Clinical Medical Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.