NPIMap

Organization Active NPI

Navarre Sleep Disorder Group Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Navarre, FL
National Provider Identifier
1215973177
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
NAVARRE SLEEP DISORDER GROUP INC
Practice address
2053 Fountain Professional CT
Suite B
Navarre, FL 32566-5105
Phone
(850) 936-4714
Fax
(850) 936-4713
NPI assigned
Jun 21, 2006
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Kira OppenheimNPI 1083737555
Title
Owner
Phone
(718) 648-4622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2053 Fountain Professional CT
Suite B
Navarre, FL 32566-5105

Mailing address

1200 Gravesend Neck Rd
Apt 3L
Brooklyn, NY 11229-4256
Phone (850) 936-4714

Other identifiers 1

IdentifierTypeStateIssuer
V3080OtherFLBC/BS OF FL

National Provider Directory

National Provider Directory

Locations

8734 Ortega Park Dr
Navarre, FL 32566
Phone (850) 904-2277

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1215973177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 GRAVESEND NECK RD",
            "address_2": "APT 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294256",
            "telephone_number": "850-936-4714",
            "fax_number": "850-936-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 FOUNTAIN PROFESSIONAL CT",
            "address_2": "SUITE B",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325665105",
            "telephone_number": "850-936-4714",
            "fax_number": "850-936-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVARRE SLEEP DISORDER GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIM",
        "authorized_official_first_name": "KIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-648-4622"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FL",
            "identifier": "V3080",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.