Anchorage Sleep Center, LLC Dba Kodiak Sleep Center

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

1008468 Issued in AK

Legal business name

ANCHORAGE SLEEP CENTER, LLC DBA KODIAK SLEEP CENTER

Practice address

104 Center Ave
Suite 102
Kodiak, AK 99615-6393

Phone

(907) 512-2060

Fax

(907) 512-2070

NPI assigned

Jul 25, 2014

Organization subpart

Yes

Parent organization

ANCHORAGE SLEEP CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Cameron Dean Gardner

Title

Managing Member

Phone

(907) 887-9520

Specialties & licenses 1

Addresses

Tax ID family

Anchorage Sleep Center LLC Dba Kodiak Sleep Center2 organizations share this tax ID, including this one

Part of

Anchorage Sleep Center LLC Dba Kodiak Sleep Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Anchorage Sleep Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Juneau, AK
  • NPI 1447622485
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Anchorage Sleep Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Anchorage, AK
  • NPI 1609182849
  NPPES parent name

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1154739878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W TUDOR RD",
            "address_2": "SUITE 5",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036649",
            "telephone_number": "907-743-0050",
            "fax_number": "907-743-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CENTER AVE",
            "address_2": "SUITE 102",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156393",
            "telephone_number": "907-512-2060",
            "fax_number": "907-512-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE SLEEP CENTER, LLC DBA KODIAK SLEEP CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANCHORAGE SLEEP CENTER, LLC",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "907-887-9520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "AK",
            "license": "1008468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siene Nicole Allen, LMT
• Diane Alonzo
• Heidi Alonzo
• Donene Amodo
• Seraphima Anaya, PTA
• Melissa Marie Anderson, LPC
• Taylor Anderson
• Carole Vaialufi Arcelay, HEALTH SERV TECH
• Arctic Chiropractic and Physical Medicine Kodiak
• Arctic Physical Therapy Services, Inc.

• All providers in Kodiak, AK
• Sleep Disorder Diagnostic Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.