Dream Sleep Testing LLC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

17293 Issued in NU

Legal business name

DREAM SLEEP TESTING LLC

Practice address

4439 Pine Meadows TRL
Traverse City, MI 49685-7386

Phone

(231) 642-5124

NPI assigned

Jul 31, 2015

Last updated

Feb 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Donaghy, CRT

Title

Owner

Phone

(231) 642-5124

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12664/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1114303187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 PINE MEADOWS TRL",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496857386",
            "telephone_number": "231-642-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 PINE MEADOWS TRL",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496857386",
            "telephone_number": "231-642-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM SLEEP TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "DONAGHY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-642-5124",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NU",
            "license": "17293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0Z90246",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Rick's Place Membership Chiropractic PLC (Dr. Rick's Place)
• Dr. Vincent Mack
• Daniel Hayden Drake, M.D.
• Jennifer Nicole Drake, PT
• Michelle Drapeau, NP
• Drew V Collins MD PC
• Shelly Drew
• Hannah Driver
• Laura Jean Drlik, PT
• Matthew James Dubiel, M.D.

• Other Specialist/Technologist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Other Specialist/Technologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.