Active NPI
Sleep Disorder Center of Estero, LLC
- Sleep Medicine (Psychiatry & Neurology) Physician
- Estero, FL
National Provider Identifier
1245634872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- Legal business name
- SLEEP DISORDER CENTER OF ESTERO, LLC
- Practice address
- 10201 Arcos Ave
Suite 103
Estero, FL 33928-9460 - Phone
- (239) 390-3190
- Fax
- (239) 390-3191
- NPI assigned
- Oct 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Michael Nelson
- Title
- MGMR
- Phone
- (239) 218-5226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | Primary |
Addresses
Primary practice location
10201 Arcos Ave
Suite 103
Estero, FL 33928-9460
Mailing address
10201 Arcos Ave
Suite 103
Estero, FL 33928-9460
Phone (239) 390-3190
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412899200000",
"number": "1245634872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10201 ARCOS AVE",
"address_2": "SUITE 103",
"city": "ESTERO",
"state": "FL",
"postal_code": "339289460",
"telephone_number": "239-390-3190",
"fax_number": "239-390-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10201 ARCOS AVE",
"address_2": "SUITE 103",
"city": "ESTERO",
"state": "FL",
"postal_code": "339289460",
"telephone_number": "239-390-3190",
"fax_number": "239-390-3191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP DISORDER CENTER OF ESTERO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-10",
"last_updated": "2014-10-10",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "MGMR",
"authorized_official_telephone_number": "239-218-5226",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084S0012X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.