Organization Active NPI

Perry a Sanford

  • Sleep Disorder Diagnostic Clinic/Center
  • Pflugerville, TX
National Provider Identifier
1083776165
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
PERRY A SANFORD
Practice address
1620 Grand Avenue Pkwy
Suite 110
Pflugerville, TX 78660-2184
Phone
(512) 670-1212
Fax
(512) 670-1540
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Perry Sanford, RRT
Title
Owner
Phone
(512) 670-1212

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X TX
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

1620 Grand Avenue Pkwy
Suite 110
Pflugerville, TX 78660-2184

Mailing address

1620 Grand Avenue Pkwy
Suite 110
Pflugerville, TX 78660-2184
Phone (512) 670-1212

Other identifiers 3

IdentifierTypeStateIssuer
172335501MedicaidTX
531127OtherTXBCBS
FTSP15OtherTXPTAN

Other names 1

  • Quality Care Sleep Diagnostics Doing business as

National Provider Directory

National Provider Directory

Locations

1620 Grand Avenue Pkwy
Ste 110
Pflugerville, TX 78660
Phone (512) 670-1212

Practitioners & affiliated clinicians

Practitioners 2

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1083776165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 GRAND AVENUE PKWY",
            "address_2": "SUITE 110",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602184",
            "telephone_number": "512-670-1212",
            "fax_number": "512-670-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 GRAND AVENUE PKWY",
            "address_2": "SUITE 110",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602184",
            "telephone_number": "512-670-1212",
            "fax_number": "512-670-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY A SANFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-670-1212",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172335501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "531127",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FTSP15",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Care Sleep Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.