Organization Active NPI

Kentucky Sleep Disorder Center

  • Pulmonary Diagnostics Certified Respiratory Therapist
  • La Grange, KY
National Provider Identifier
1114100617
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Diagnostics Certified Respiratory TherapistTaxonomy code 2278P1004X
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

Updated by the provider on Dec 7, 2007

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)CodeLicenseStatePrimary
Pulmonary Diagnostics Certified Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.