Organization Active NPI

Quality Sleep Anesthesia P.C.

  • Pain Clinic/Center
  • Idaho Falls, ID
National Provider Identifier
1316305519
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
RNA382A Issued in ID
Legal business name
QUALITY SLEEP ANESTHESIA P.C.
Practice address
3155 Channing Way Ste a
Idaho Falls, ID 83404
Phone
(208) 569-5818
NPI assigned
Feb 2, 2016
Last updated
Feb 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Mr. Greg D Nebeker, CRNA
Title
Nurse Anesthetist
Phone
(208) 569-5818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X RNA382A ID Primary

Addresses

Primary practice location

3155 Channing Way Ste a
Idaho Falls, ID 83404

Mailing address

3155 Channing Way Ste a
Idaho Falls, ID 83404-7534
Phone (208) 569-5818

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1316305519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 CHANNING WAY STE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047534",
            "telephone_number": "208-569-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 CHANNING WAY STE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-569-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY SLEEP ANESTHESIA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "NEBEKER",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "NURSE ANESTHETIST",
        "authorized_official_telephone_number": "208-569-5818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "ID",
            "license": "RNA382A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.