Active NPI
Bioserenity DT Inc.
- Sleep Disorder Diagnostic Clinic/Center
- Woodbridge, VA
National Provider Identifier
1275929564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- BIOSERENITY DT INC.
- Practice address
- 14416 Richmond Hwy Ste 5
Woodbridge, VA 22191-2890 - Phone
- (703) 440-0981
- NPI assigned
- Apr 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice Shock
- Title
- Evp Clinical Operations
- Phone
- (214) 532-3757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
14416 Richmond Hwy Ste 5
Woodbridge, VA 22191-2890
Mailing address
99 Rosewood Dr Ste 245
Danvers, MA 01923-4537
Phone (978) 536-7400
Other names 1
- SleepMed
National Provider Directory
National Provider DirectoryLocations
14416 Richmond Hwy
Ste 5
Woodbridge, VA 22191
Phone (703) 440-0981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1275929564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 ROSEWOOD DR STE 245",
"city": "DANVERS",
"state": "MA",
"postal_code": "019234537",
"telephone_number": "978-536-7400",
"fax_number": "978-535-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14416 RICHMOND HWY STE 5",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221912890",
"telephone_number": "703-440-0981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOSERENITY DT INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-13",
"last_updated": "2022-07-14",
"certification_date": "2022-07-06",
"status": "A",
"authorized_official_last_name": "SHOCK",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "EVP CLINICAL OPERATIONS",
"authorized_official_telephone_number": "214-532-3757"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SleepMed",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SleepMed",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.