Organization Active NPI

American Sleep Medicine

  • Physiological Laboratory
  • St. Louis, MO
National Provider Identifier
1104856558
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
AMERICAN SLEEP MEDICINE
Practice address
727 Craig Rd
Ste 101
St. Louis, MO 63141-7175
Phone
(314) 994-9499
Fax
(314) 991-6844
NPI assigned
Jul 3, 2006
Organization subpart
Yes
Parent organization
AMERICAN SLEEP MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Mr. John Moceyunas
Title
Service Center Manager
Phone
(904) 417-5536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

727 Craig Rd
Ste 101
St. Louis, MO 63141-7175

Mailing address

7900 Belfort Pkwy
Ste 301
Jacksonville, FL 32256-6978
Phone (904) 562-5811

Other identifiers 1

IdentifierTypeStateIssuer
1104856558MedicaidMO

Other names 1

  • ST Louis Sleep Center LLC Former legal business name

National Provider Directory

National Provider Directory
Part of
American Sleep Medicine

Locations

727 Craig Rd
Ste 101
Saint Louis, MO 63141
Phone (314) 660-3191

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1104856558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 BELFORT PKWY",
            "address_2": "STE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566978",
            "telephone_number": "904-562-5811",
            "fax_number": "904-517-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 CRAIG RD",
            "address_2": "STE 101",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631417175",
            "telephone_number": "314-994-9499",
            "fax_number": "314-991-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SLEEP MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN SLEEP MEDICINE",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "MOCEYUNAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SERVICE CENTER MANAGER",
        "authorized_official_telephone_number": "904-417-5536",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104856558",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST Louis Sleep Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in St. Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.