Organization Active NPI

Fantastic Sleep Studies Solutions & Supplies, LLC

  • Physiological Laboratory
  • San Antonio, TX
National Provider Identifier
1124595673
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
FANTASTIC SLEEP STUDIES SOLUTIONS & SUPPLIES, LLC
Practice address
227 N Loop 1604 E Ste 150
San Antonio, TX 78232-1450
Phone
(210) 960-7894
Fax
(866) 750-1161
NPI assigned
Nov 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
David OsteenNPI 1497357412
Title
President & Ceo
Phone
(210) 960-7894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

227 N Loop 1604 E Ste 150
San Antonio, TX 78232-1450

Mailing address

227 N Loop 1604 E Ste 150
San Antonio, TX 78232-1450
Phone (210) 960-7894

Other names 1

  • FANTASTIC SLEEP Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DAVID@FANTASTICSLEEP.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210512001289 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0648689257 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: david@fantasticsleep.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1124595673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N LOOP 1604 E STE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321450",
            "telephone_number": "210-960-7894",
            "fax_number": "866-750-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N LOOP 1604 E STE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321450",
            "telephone_number": "210-960-7894",
            "fax_number": "866-750-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANTASTIC SLEEP STUDIES SOLUTIONS & SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "OSTEEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "210-960-7894"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DAVID@FANTASTICSLEEP.COM",
            "affiliation": "N",
            "endpointDescription": "PRESIDENT",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "227 N Loop 1604 E Ste 150",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782321450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FANTASTIC SLEEP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FANTASTIC SLEEP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.