NPIMap

Organization Active NPI

Sleep Physiology

  • Clinical Medical Laboratory
  • Denton, TX
National Provider Identifier
1205839743
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
13 Issued in TX
Legal business name
SLEEP PHYSIOLOGY
Practice address
1213 Bent Oaks CT
Denton, TX 76210-3300
Phone
(940) 591-1496
Fax
(940) 591-1698
NPI assigned
May 28, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
John Alan Baccus, CRT, NPS, RPSGT
Title
President/Owner
Phone
(940) 591-1496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 13 TX Primary

Addresses

Primary practice location

1213 Bent Oaks CT
Denton, TX 76210-3300

Mailing address

1213 Bent Oaks CT
Denton, TX 76210-3300
Phone (940) 591-1496

National Provider Directory

National Provider Directory

Locations

1213 Bent Oaks Ct
Denton, TX 76210
Phone (940) 591-1496

NPI Registry JSON

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205839743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 BENT OAKS CT",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762103300",
            "telephone_number": "940-591-1496",
            "fax_number": "940-591-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 BENT OAKS CT",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762103300",
            "telephone_number": "940-591-1496",
            "fax_number": "940-591-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP PHYSIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BACCUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "940-591-1496",
        "authorized_official_credential": "CRT, NPS, RPSGT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.