Missoula Sleep Medicine, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

C108330 Issued in MT

Legal business name

MISSOULA SLEEP MEDICINE, LLC

Practice address

910 Brooks St
Suite 201
Missoula, MT 59801-5783

Phone

(406) 829-8053

Fax

(406) 541-8062

NPI assigned

May 8, 2006

Last updated

Jan 12, 2010By 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

Rick B Wall

Title

Member

Phone

(406) 829-8053

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Joseph Silverglat, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Missoula, MT
  • NPI 1700835014
  NPD (past)
• Teppe Popovich, M.D.

  • Diagnostic Radiology Physician
  • Melbourne Beach, FL
  • NPI 1407815772
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1205885142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BROOKS ST",
            "address_2": "SUITE 201",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015783",
            "telephone_number": "406-829-8053",
            "fax_number": "406-541-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BROOKS ST",
            "address_2": "SUITE 201",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015783",
            "telephone_number": "406-829-8053",
            "fax_number": "406-541-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOULA SLEEP MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "406-829-8053"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MT",
            "license": "C108330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00431402",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000094581",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0034408",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Missoula Physical Therapy Inc
• Missoula Physical Therapy LLC
• Missoula Play Therapy LLC
• Missoula PT
• Missoula Radiology PC
• Missoula Sleep Medicine, LLC
• Missoula SNF Operations, LLC (Missoula Health & Rehabilitation Center)
• Missoula Speech Therapy Services, LLC
• Missoula Sports Medicine and Imaging LLC
• Missoula Surgical Associates, PLLC

• Specialist in Missoula, MT
• Providers in Missoula, MT by specialty
• Specialist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.