Active NPI
Kiron Clinical Sleep Lab, LLC
- Specialist
- Durham, NC
National Provider Identifier
1124019849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 34166
- Legal business name
- KIRON CLINICAL SLEEP LAB, LLC
- Practice address
- 2609 N Duke St
Suite 604
Durham, NC 27704-3048 - Phone
- (919) 382-3240
- NPI assigned
- Nov 2, 2005
- 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
- William R Doyle
- Title
- President/Ceo
- Phone
- (770) 965-0383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 34166 | NC | Primary |
Addresses
Primary practice location
2609 N Duke St
Suite 604
Durham, NC 27704-3048
Mailing address
2609 N Duke St
Suite 604
Durham, NC 27704-3048
Phone (919) 382-3240
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3555569 | Other | NM | UNITED HEALTHCARE |
| 89014W6 | Medicaid | NC | |
| 014W6 | Other | NC | BCBS |
| 207009 | Other | VA | ANTHEM BCBS |
National Provider Directory
National Provider DirectoryLocations
2609 N Duke St
Ste 604
Durham, NC 27704
Phone (919) 220-1881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396915200000",
"number": "1124019849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2609 N DUKE ST",
"address_2": "SUITE 604",
"city": "DURHAM",
"state": "NC",
"postal_code": "277043048",
"telephone_number": "919-382-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 N DUKE ST",
"address_2": "SUITE 604",
"city": "DURHAM",
"state": "NC",
"postal_code": "277043048",
"telephone_number": "919-382-3240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRON CLINICAL SLEEP LAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-02",
"last_updated": "2014-04-08",
"status": "A",
"authorized_official_last_name": "DOYLE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "770-965-0383"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NC",
"license": "34166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3555569",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89014W6",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "014W6",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "207009",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.