Organization Active NPI

Certified Sleep Medicine Diagnostic Center LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Corpus Christi, TX
National Provider Identifier
1376893925
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
CERTIFIED SLEEP MEDICINE DIAGNOSTIC CENTER LLC
Practice address
5402 Holly Rd
Suite 2102
Corpus Christi, TX 78411-4673
Phone
(361) 815-2301
NPI assigned
Sep 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Roy Aguilar, RPSGT
Title
President
Phone
(361) 815-2301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

5402 Holly Rd
Suite 2102
Corpus Christi, TX 78411-4673

Mailing address

5402 Holly Rd
Suite 2102
Corpus Christi, TX 78411-4673
Phone (361) 815-2301

Other identifiers 1

IdentifierTypeStateIssuer
278605OtherTXPROVIDER TRANSACTION ACCESS NUMBER (PTAN)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1376893925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 HOLLY RD",
            "address_2": "SUITE 2102",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114673",
            "telephone_number": "361-815-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 HOLLY RD",
            "address_2": "SUITE 2102",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114673",
            "telephone_number": "361-815-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED SLEEP MEDICINE DIAGNOSTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-815-2301",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCESS NUMBER (PTAN)",
            "identifier": "278605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.