NPIMap

Organization Active NPI

Professional Sleep Services

  • Sleep Medicine (Internal Medicine) Physician
  • Woodland Park, CO
National Provider Identifier
1073016689
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
PROFESSIONAL SLEEP SERVICES
Practice address
821 Lafayette Ave
Woodland Park, CO 80863-2445
Phone
(303) 396-5923
Fax
(303) 957-5414
NPI assigned
Mar 10, 2018
Last updated
Dec 7, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PROFESSIONAL SLEEP SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Jordan Camden
Title
Chief Executive Officer
Phone
(303) 396-5923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

821 Lafayette Ave
Woodland Park, CO 80863-2445

Mailing address

191 Telluride St Unit 5
Brighton, CO 80601-4356
Phone (303) 396-5923

National Provider Directory

National Provider Directory
Tax ID family
Professional Sleep Services8 organizations share this tax ID, including this one
Part of
Professional Sleep Services

Other organizations with this tax ID 7

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1520640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1073016689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 TELLURIDE ST UNIT 5",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014356",
            "telephone_number": "303-396-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 LAFAYETTE AVE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808632445",
            "telephone_number": "303-396-5923",
            "fax_number": "303-957-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SLEEP SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL SLEEP SERVICES",
        "enumeration_date": "2018-03-10",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "CAMDEN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "303-396-5923"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.