Organization Active NPI

Lake Michigan Sinus & Sleep Apnea Center, PLLC

  • Sleep Medicine (Otolaryngology) Physician
  • Saint Joseph, MI
National Provider Identifier
1437362316
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X
License
4301070920 Issued in MI
Legal business name
LAKE MICHIGAN SINUS & SLEEP APNEA CENTER, PLLC
Practice address
2680 S. Cleveland Street
Saint Joseph, MI 49085
Phone
(269) 982-3368
Fax
(269) 983-3238
NPI assigned
May 8, 2007
Last updated
Dec 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Dr. Dennis Fred Thompson, MDNPI 1659373256
Title
President
Phone
(269) 982-3368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Otolaryngology) Physician 207YS0012X 4301070920 MI Primary

Addresses

Primary practice location

2680 S. Cleveland Street
Saint Joseph, MI 49085

Mailing address

2680 S. Cleveland Street
Saint Joseph, MI 49085
Phone (269) 982-3368

Other identifiers 1

IdentifierTypeStateIssuer
4171338MedicaidMI

National Provider Directory

National Provider Directory

Locations

2680 S Cleveland Ave
Saint Joseph, MI 49085
Phone (269) 428-9000

820 Lester Ave
Ste B11
Saint Joseph, MI 49085
Phone (616) 982-3368

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1437362316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S. CLEVELAND STREET",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "49085",
            "telephone_number": "269-982-3368",
            "fax_number": "269-983-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S. CLEVELAND STREET",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "49085",
            "telephone_number": "269-982-3368",
            "fax_number": "269-983-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MICHIGAN SINUS & SLEEP APNEA CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-982-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "MI",
            "license": "4301070920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4171338",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.