East Side Sleep Center, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

EAST SIDE SLEEP CENTER, LLC

Doing business as

Tomball Sleep Center

Practice address

425 Holderrieth Blvd
210
Tomball, TX 77375-4543

Phone

(281) 207-8889

Fax

(713) 660-0970

NPI assigned

Jan 25, 2012

Last updated

Nov 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Todd Richey

Title

President

Phone

(713) 664-1330

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tomball Sleep Center Doing business as

Locations

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1194096982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2569",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774972569",
            "telephone_number": "281-207-8800",
            "fax_number": "713-660-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD",
            "address_2": "210",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754543",
            "telephone_number": "281-207-8889",
            "fax_number": "713-660-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE SLEEP CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "RICHEY",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-664-1330",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "MEDICARE",
            "identifier": "TXB155001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318162001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tomball Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alyah Rose Edwards

• Sleep Disorder Diagnostic Clinic/Center in Tomball, TX
• Providers in Tomball, TX by specialty
• Sleep Disorder Diagnostic Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.