Organization Active NPI

Carolina Sleep and Respiratory, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Erwin, NC
National Provider Identifier
1194868612
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
CAROLINA SLEEP AND RESPIRATORY, LLC
Practice address
411 E Jackson Blvd
Erwin, NC 28339-9628
Phone
(910) 897-2296
Fax
(910) 694-1013
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Mr. Michael Dennis Dean, RPSGT
Title
Member
Phone
(910) 639-9113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

411 E Jackson Blvd
Erwin, NC 28339-9628

Mailing address

PO Box 9
Carthage, NC 28327-0009
Phone (910) 862-5183

Other identifiers 1

IdentifierTypeStateIssuer
89015NNMedicaidNC

National Provider Directory

National Provider Directory

Locations

411 E Jackson Blvd
Erwin, NC 28339
Phone (910) 897-2296

404 Denim Dr
#B
Erwin, NC 28339
Phone (910) 897-2296

4140 Ferncreek Dr
Ste 104
Fayetteville, NC 28314
Phone (910) 321-1508

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1194868612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "CARTHAGE",
            "state": "NC",
            "postal_code": "283270009",
            "telephone_number": "910-862-5183",
            "fax_number": "910-862-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E JACKSON BLVD",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283399628",
            "telephone_number": "910-897-2296",
            "fax_number": "910-694-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SLEEP AND RESPIRATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "910-639-9113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015NN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.