Organization Active NPI

Premier Sleep Associates, PLLC

  • Dentist
  • Bellevue, WA
National Provider Identifier
1225409956
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6409 Issued in WA
Legal business name
PREMIER SLEEP ASSOCIATES, PLLC
Practice address
636 120TH Ave NE
A204
Bellevue, WA 98005-3028
Phone
(425) 698-1732
Fax
(425) 746-0146
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Dr. Stephen Carstensen, DDSNPI 1023160363
Title
Co-Owner
Phone
(425) 698-1732

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6409 WA Primary

Addresses

Primary practice location

636 120TH Ave NE
A204
Bellevue, WA 98005-3028

Mailing address

636 120TH Ave NE
A204
Bellevue, WA 98005-3028
Phone (425) 698-1732

National Provider Directory

National Provider Directory

Locations

14535 NE Bel Red Rd
Ste 101
Bellevue, WA 98007

636 120th Ave NE
Ste A204
Bellevue, WA 98005
Phone (425) 307-3546

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12565/brand/1/csg/1/fhir/r4

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": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1225409956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 120TH AVE NE",
            "address_2": "A204",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053028",
            "telephone_number": "425-698-1732",
            "fax_number": "425-746-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 120TH AVE NE",
            "address_2": "A204",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053028",
            "telephone_number": "425-698-1732",
            "fax_number": "425-746-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SLEEP ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "CARSTENSEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "425-698-1732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "6409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.