Organization Active NPI

Comprehensive Sleep Solutions, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Avondale, AZ
National Provider Identifier
1124185350
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
COMPREHENSIVE SLEEP SOLUTIONS, LLC
Practice address
12725 W Indian School Rd
F-102
Avondale, AZ 85323-9520
Phone
(623) 935-2226
Fax
(623) 935-5027
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
John Benn
Title
Chief Operating Officer
Phone
(480) 446-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

12725 W Indian School Rd
F-102
Avondale, AZ 85323-9520

Mailing address

PO Box 40520
Mesa, AZ 85274-0520
Phone (480) 446-9010

Other identifiers 2

IdentifierTypeStateIssuer
118104OtherAZMEDICARE B PROVIDER #
209630MedicaidAZ

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

12725 W Indian School Rd
Ste F102
Avondale, AZ 85392
Phone (480) 603-0615

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1124185350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40520",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852740520",
            "telephone_number": "480-446-9010",
            "fax_number": "480-993-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 W INDIAN SCHOOL RD",
            "address_2": "F-102",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853239520",
            "telephone_number": "623-935-2226",
            "fax_number": "623-935-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SLEEP SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "BENN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "480-446-9010"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B PROVIDER #",
            "identifier": "118104",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209630",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.