Active NPI
Digitrace Care Services Inc
- Sleep Disorder Diagnostic Clinic/Center
- Houston, TX
National Provider Identifier
1184744286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- DIGITRACE CARE SERVICES INC
- Practice address
- 6550 Fannin St
Suite 2417
Houston, TX 77030-2717 - Phone
- (972) 239-3494
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carl R Iberger
- Title
- Evp-Cfo
- Phone
- (978) 536-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
6550 Fannin St
Suite 2417
Houston, TX 77030-2717
Mailing address
200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PL7236 | Other | TX | BLUE CROSS |
| 126657902 | Medicaid | TX | |
| 0085DC | Other | TX | BLUE CROSS |
| PL7237 | Other | TX | BLUE CROSS |
Other names 1
- SleepMed
National Provider Directory
National Provider DirectoryLocations
6550 Fannin St
Ste 2417
Houston, TX 77030
Phone (713) 795-5611
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Springfield, MA
- NPI 1730170994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289347200000",
"number": "1184744286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE PL",
"address_2": "SUITE 5B",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603840",
"telephone_number": "978-536-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 2417",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302717",
"telephone_number": "972-239-3494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGITRACE CARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2010-11-10",
"status": "A",
"authorized_official_last_name": "IBERGER",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EVP-CFO",
"authorized_official_telephone_number": "978-536-7400"
},
"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": "BLUE CROSS",
"identifier": "PL7236",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126657902",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0085DC",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PL7237",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SleepMed",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.