Organization Active NPI

Sleep Apnea & Breathing Therapy Northwest, LLC

  • Customized Equipment (DME)
  • Coeur D Alene, ID
National Provider Identifier
1093160350
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
3019 Issued in ID
Legal business name
SLEEP APNEA & BREATHING THERAPY NORTHWEST, LLC
Practice address
2615 N Fruitland LN
Coeur D Alene, ID 83815-7914
Phone
(208) 660-4880
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
George J Loftus III
Title
Member
Phone
(208) 660-4880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 3019 ID
Customized Equipment (DME) 332BC3200X 3019 ID Primary

Addresses

Primary practice location

2615 N Fruitland LN
Coeur D Alene, ID 83815-7914

Mailing address

2615 N Fruitland LN
Coeur D Alene, ID 83815-7914
Phone (208) 660-4880

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1093160350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 N FRUITLAND LN",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157914",
            "telephone_number": "208-660-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 N FRUITLAND LN",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157914",
            "telephone_number": "208-660-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP APNEA & BREATHING THERAPY NORTHWEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "LOFTUS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-660-4880",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "3019",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "ID",
            "license": "3019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.