NPIMap

Organization Active NPI

Sleep Solutions of Central Illinois

  • Dentist
  • Bloomington, IL
National Provider Identifier
1194181560
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019021753 Issued in IL
Legal business name
SLEEP SOLUTIONS OF CENTRAL ILLINOIS
Practice address
2309 E. Empire St
Suite 500
Bloomington, IL 61704-8900
Phone
(309) 319-6568
Fax
(309) 664-0352
NPI assigned
Jan 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Mrs. Erica Michelle Harris
Title
Practice Manager
Phone
(309) 319-6568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019021753 IL Primary

Addresses

Primary practice location

2309 E. Empire St
Suite 500
Bloomington, IL 61704-8900

Mailing address

2309 E. Empire St
Suite 500
Bloomington, IL 61704-8900
Phone (309) 319-6568

Other names 1

  • Tara M Griffin DMD LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Koala Center for Sleep Disorders2 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1194181560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 E. EMPIRE ST",
            "address_2": "SUITE 500",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048900",
            "telephone_number": "309-319-6568",
            "fax_number": "309-664-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 E. EMPIRE ST",
            "address_2": "SUITE 500",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048900",
            "telephone_number": "309-319-6568",
            "fax_number": "309-664-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP SOLUTIONS OF CENTRAL ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "309-319-6568",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019021753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tara M Griffin DMD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.