Delta Sleep Center PLLC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

21677 Issued in TN

Legal business name

DELTA SLEEP CENTER PLLC

Practice address

1505 Woodlawn Ave Ste B
Dyersburg, TN 38024-3145

Phone

(731) 676-2894

Fax

(731) 334-5608

NPI assigned

Jan 26, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Mahinder P S Talwar, RPSGT

Title

Director

Phone

(731) 676-2894

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1265899959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ROELLEN RD",
            "city": "NEWBERN",
            "state": "TN",
            "postal_code": "380594079",
            "telephone_number": "731-676-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WOODLAWN AVE STE B",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243145",
            "telephone_number": "731-676-2894",
            "fax_number": "731-334-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA SLEEP CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "TALWAR",
        "authorized_official_first_name": "MAHINDER",
        "authorized_official_middle_name": "P S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "731-676-2894",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": "TN",
            "license": "21677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Specialist/Technologist in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Other Specialist/Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.