NPIMap

Organization Active NPI

Idaho Sleep Services, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Boise, ID
National Provider Identifier
1467620583
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
IDAHO SLEEP SERVICES, LLC
Practice address
7272 W Potomac Dr
Boise, ID 83704-9149
Phone
(208) 375-8222
Fax
(208) 375-8232
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Dr. Donald J Beasley, MDNPI 1770573750
Title
Manager
Phone
(208) 463-3000

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X
Sleep Disorder Diagnostic Clinic/Center 261QS1200X ID Primary
Clinical Medical Laboratory 291U00000X
Clinical Medical Laboratory 291U00000X ID

Addresses

Primary practice location

7272 W Potomac Dr
Boise, ID 83704-9149

Mailing address

PO Box 3291
Salt Lake City, UT 84110-3291
Phone (208) 375-8222

Other names 1

  • Idaho Sleep Health Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

210 W Georgia Ave
Ste 120
Nampa, ID 83686
Phone (208) 442-8222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1467620583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3291",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841103291",
            "telephone_number": "208-375-8222",
            "fax_number": "208-375-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7272 W POTOMAC DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049149",
            "telephone_number": "208-375-8222",
            "fax_number": "208-375-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO SLEEP SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-463-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "ID",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ID",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idaho Sleep Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.