NPIMap

Organization Active NPI

Pacific Sleep Medicine Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • La Grande, OR
National Provider Identifier
1174766331
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
NPC-0003148 Issued in OR
Legal business name
PACIFIC SLEEP MEDICINE SERVICES, INC.
Practice address
700 Sunset Dr
Suite C
La Grande, OR 97850-7901
Phone
(541) 963-2428
Fax
(541) 963-0731
NPI assigned
Apr 16, 2009
Organization subpart
Yes
Parent organization
DORMIR, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Mr. Jay Jarrell
Title
President/Coo
Phone
(317) 706-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NPC-0003148 OR Primary

Addresses

Primary practice location

700 Sunset Dr
Suite C
La Grande, OR 97850-7901

Mailing address

615 W Carmel Dr
Suite 100
Carmel, IN 46032-5504
Phone (317) 706-1080

Other names 1

  • CardioSom Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cardiosom2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

700 Sunset Dr
Ste C
La Grande, OR 97850
Phone (541) 663-3135

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1174766331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W CARMEL DR",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325504",
            "telephone_number": "317-706-1080",
            "fax_number": "317-706-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR",
            "address_2": "SUITE C",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978507901",
            "telephone_number": "541-963-2428",
            "fax_number": "541-963-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SLEEP MEDICINE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DORMIR, INC.",
        "enumeration_date": "2009-04-16",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "317-706-1080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "NPC-0003148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CardioSom",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.