Active NPI
Kentucky Sleep Disorder Center
- Pulmonary Diagnostics Certified Respiratory Therapist
- La Grange, KY
National Provider Identifier
1114100617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Diagnostics Certified Respiratory Therapist
- Legal business name
- KENTUCKY SLEEP DISORDER CENTER
- Practice address
- 1006 New Moody LN
La Grange, KY 40031-9122 - Phone
- (502) 222-0330
- Fax
- (502) 222-0390
- NPI assigned
- Dec 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nisha G Dave
- Title
- Registered Agent
- Phone
- (502) 222-0330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Diagnostics Certified Respiratory Therapist | 2278P1004X | Primary |
Addresses
Primary practice location
1006 New Moody LN
La Grange, KY 40031-9122
Mailing address
PO Box 393
La Grange, KY 40031-0393
Phone (502) 222-0330
National Provider Directory
National Provider Directory- Tax ID family
- Kentucky Sleep Disorder Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Sleep Disorder Diagnostic Clinic/Center
- Lagrange, KY
- NPI 1154526655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196985600000",
"number": "1114100617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 393",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400310393",
"telephone_number": "502-222-0330",
"fax_number": "502-222-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 NEW MOODY LN",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400319122",
"telephone_number": "502-222-0330",
"fax_number": "502-222-0390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENTUCKY SLEEP DISORDER CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2007-12-07",
"status": "A",
"authorized_official_last_name": "DAVE",
"authorized_official_first_name": "NISHA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "502-222-0330"
},
"taxonomies": [
{
"code": "2278P1004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grange, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.