Organization Active NPI

Twinklescape Sleep Disorders Center PC

  • Sleep Disorder Diagnostic Clinic/Center
  • Clayton, NC
National Provider Identifier
1255503173
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
2008-00074 Issued in NC
Legal business name
TWINKLESCAPE SLEEP DISORDERS CENTER PC
Practice address
935 Shotwell Road
Suite 107
Clayton, NC 27549-5597
Phone
(919) 838-7600
Fax
(919) 838-7611
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Dr. Kim L Goring, M.D
Title
Owner/President
Phone
(919) 838-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 2008-00074 NC Primary

Addresses

Primary practice location

935 Shotwell Road
Suite 107
Clayton, NC 27549-5597

Mailing address

9650 Strickland Road
Suite 103-140
Raleigh, NC 27615-1903
Phone (919) 838-7600

Other identifiers 2

IdentifierTypeStateIssuer
5908964MedicaidNC
034110900MedicaidDC

National Provider Directory

National Provider Directory

Locations

935 Shotwell Rd
Ste 107
Clayton, NC 27520
Phone (919) 838-7600

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1255503173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 STRICKLAND ROAD",
            "address_2": "SUITE 103-140",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151903",
            "telephone_number": "919-838-7600",
            "fax_number": "919-838-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 SHOTWELL ROAD",
            "address_2": "SUITE 107",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275495597",
            "telephone_number": "919-838-7600",
            "fax_number": "919-838-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWINKLESCAPE SLEEP DISORDERS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "GORING",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "919-838-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NC",
            "license": "2008-00074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908964",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034110900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.