Organization Active NPI

Sleep Disorder Center of Estero, LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Estero, FL
National Provider Identifier
1245634872
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
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

Updated by the provider on Oct 10, 2014

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)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.