Organization Active NPI

Fort Smith Sleep Lab, LLC

Doing business as Disease Prevention Services

  • Sleep Medicine (Internal Medicine) Physician
  • Fort Smith, AR
National Provider Identifier
1124277322
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
FORT SMITH SLEEP LAB, LLC
Doing business as
Disease Prevention Services
Practice address
4200 Jenny Lind Rd Ste C
Fort Smith, AR 72901-7632
Phone
(479) 646-2229
Fax
(479) 646-1984
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Dr. Dario M Espina, M.D.
Title
Director
Phone
(479) 646-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

4200 Jenny Lind Rd Ste C
Fort Smith, AR 72901-7632

Mailing address

4200 Jenny Lind Rd Ste C
Fort Smith, AR 72901-7632
Phone (479) 646-2229

Other identifiers 1

IdentifierTypeStateIssuer
181284002MedicaidAR

Other names 1

  • Disease Prevention Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1124277322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 JENNY LIND RD STE C",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017632",
            "telephone_number": "479-646-2229",
            "fax_number": "479-646-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 JENNY LIND RD STE C",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017632",
            "telephone_number": "479-646-2229",
            "fax_number": "479-646-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SMITH SLEEP LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "ESPINA",
        "authorized_official_first_name": "DARIO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "479-646-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181284002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Disease Prevention Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Disease Prevention Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.