NPIMap

Organization Active NPI

Sleep Apnea Professionals LLC

  • Dentist
  • Mobile, AL
National Provider Identifier
1396057584
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5733C Issued in AL
Legal business name
SLEEP APNEA PROFESSIONALS LLC
Practice address
1055 Montlimar Dr
Mobile, AL 36609-1708
Phone
(251) 706-1499
NPI assigned
Jul 5, 2010
Last updated
Jan 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Dr. Fredrico Albert Dixon III, DDSNPI 1396820775
Title
President
Phone
(251) 706-1499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5733C AL Primary

Addresses

Primary practice location

1055 Montlimar Dr
Mobile, AL 36609-1708

Mailing address

PO Box 91627
Mobile, AL 36691-1627
Phone (251) 706-1499

Other identifiers 4

IdentifierTypeStateIssuer
00510BSOtherALBCBS
510DNOtherALBCBS
511-13806OtherALBCBS LOCATION ID
134191MedicaidAL

National Provider Directory

National Provider Directory

Locations

1055 Montlimar Dr
Mobile, AL 36609
Phone (251) 706-1499

6311 Kingston Pike
Ste 8W
Knoxville, TN 37919
Phone (865) 306-5995

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1396057584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91627",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366911627",
            "telephone_number": "251-706-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 MONTLIMAR DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091708",
            "telephone_number": "251-706-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP APNEA PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-05",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "FREDRICO",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-706-1499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5733C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00510BS",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510DN",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LOCATION ID",
            "identifier": "511-13806",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134191",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.