Active NPI
Digitrace Care Services Inc
- Sleep Disorder Diagnostic Clinic/Center
- Houston, TX
National Provider Identifier
1285645655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- DIGITRACE CARE SERVICES INC
- Practice address
- 17115 Red Oak Dr
Suite 202 & 204
Houston, TX 77090-2641 - Phone
- (281) 583-8228
- Fax
- (281) 583-8668
- NPI assigned
- Aug 11, 2006
- 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
- Mr. Carl R. Iberger
- Title
- Evp,Cfo
- Phone
- (978) 536-7400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
17115 Red Oak Dr
Suite 202 & 204
Houston, TX 77090-2641
Mailing address
200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0085DC | Other | TX | BCBS |
| 103364100 | Other | TX | FIRST CARE |
| 7618325 | Other | AETNA |
National Provider Directory
National Provider Directory- Tax ID family
- Digitrace Care Services Inc
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Sleep Disorder Diagnostic Clinic/Center
- Houston, TX
- NPI 1164759593
Locations
17115 Red Oak Dr
Ste 204
Houston, TX 77090
Phone (281) 583-8228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205193600000",
"number": "1285645655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE PL",
"address_2": "SUITE 5B",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603840",
"telephone_number": "978-536-7400",
"fax_number": "978-535-9757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17115 RED OAK DR",
"address_2": "SUITE 202 & 204",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902641",
"telephone_number": "281-583-8228",
"fax_number": "281-583-8668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGITRACE CARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2008-03-11",
"status": "A",
"authorized_official_last_name": "IBERGER",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "EVP,CFO",
"authorized_official_telephone_number": "978-536-7400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0085DC",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CARE",
"identifier": "103364100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7618325",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.