Idaho Sleep Services, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

IDAHO SLEEP SERVICES, LLC

Practice address

210 Georgia Ave
Ste 120
Nampa, ID 83686

Phone

(208) 442-8222

Fax

(208) 442-8232

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donald J Beasley, MD

Title

Manager

Phone

(208) 463-3000

Specialties & licenses 5

Addresses

Other names 1

• Idaho Sleep Health Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Saltzer Medical Group PA

  • Durable Medical Equipment & Medical Supplies
  • Nampa, ID
  • NPI 1477695617

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John R. Kaiser, M.D. OB/GYN

  • Obstetrics & Gynecology Physician
  • Nampa, ID
  • NPI 1841280898
  NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1275759441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3291",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841103291",
            "telephone_number": "208-375-8222",
            "fax_number": "208-375-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 GEORGIA AVE",
            "address_2": "STE 120",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83686",
            "telephone_number": "208-442-8222",
            "fax_number": "208-442-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO SLEEP SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-463-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "M9815",
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "ID",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idaho Sleep Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Idaho Urology Clinic, P.a.
• Idaho Vascular Institute PLLC

• Sleep Disorder Diagnostic Clinic/Center in Nampa, ID
• Providers in Nampa, ID by specialty
• Sleep Disorder Diagnostic Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.