Miami Valley Sleep Center LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

MIAMI VALLEY SLEEP CENTER LLC

Practice address

1980B Kingsgate Rd
Springfield, OH 45502-8224

Phone

(614) 433-0614

Fax

(866) 290-8990

NPI assigned

Jun 27, 2005

Last updated

Apr 1, 2008By 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

Mr. Craig A Pickerill, RPSGT

Title

President

Phone

(614) 410-1266

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1235135047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430850418",
            "telephone_number": "614-410-1266",
            "fax_number": "866-291-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980B KINGSGATE RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455028224",
            "telephone_number": "614-433-0614",
            "fax_number": "866-290-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI VALLEY SLEEP CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "PICKERILL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-410-1266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2575002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Springfield, OH
• Providers in Springfield, OH by specialty
• Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.