Organization Active NPI

Clarksville Sleepdisorders Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Clarksville, TN
National Provider Identifier
1265592331
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
CLARKSVILLE SLEEPDISORDERS CENTER
Practice address
311 Landrum PL Ste 800
Clarksville, TN 37043-6319
Phone
(931) 245-2100
Fax
(931) 245-2101
NPI assigned
Dec 11, 2006
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dr. Jatin K Kadakia, M.D.NPI 1831262385
Title
Ownership
Phone
(931) 245-2100

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
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU Primary

Addresses

Primary practice location

311 Landrum PL Ste 800
Clarksville, TN 37043-6319

Mailing address

311 Landrum PL Ste 800
Clarksville, TN 37043-6319
Phone (931) 245-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110302000053 TN Part B Supplier - Clinic/Group Practice 8820063993 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, TN

National Provider Directory

National Provider Directory

Locations

311 Landrum Pl
#800
Clarksville, TN 37043
Phone (931) 245-2100

311 Landrum Pl
Ste 800
Clarksville, TN 37043
Phone (931) 245-2100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1265592331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LANDRUM PL STE 800",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436319",
            "telephone_number": "931-245-2100",
            "fax_number": "931-245-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LANDRUM PL STE 800",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436319",
            "telephone_number": "931-245-2100",
            "fax_number": "931-245-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE SLEEPDISORDERS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "KADAKIA",
        "authorized_official_first_name": "JATIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNERSHIP",
        "authorized_official_telephone_number": "931-245-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.