Sleep Center of Willmar, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

SLEEP CENTER OF WILLMAR, LLC

Practice address

2100 19TH Ave SW Ste 1
Willmar, MN 56201-5287

Phone

(320) 441-2104

Fax

(320) 441-2052

NPI assigned

Apr 9, 2012

Organization subpart

No

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

Authorized official

Name

Jarad Douglas Ripperger

Title

Manager

Phone

(320) 441-2104

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Martin Heinz Janning, M.D.

  • Otolaryngology Physician
  • Willmar, MN
  • NPI 1396963922
  NPD

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1467718064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 19TH AVE SW STE 1",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015287",
            "telephone_number": "320-441-2104",
            "fax_number": "320-441-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 19TH AVE SW STE 1",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015287",
            "telephone_number": "320-441-2104",
            "fax_number": "320-441-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP CENTER OF WILLMAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "RIPPERGER",
        "authorized_official_first_name": "JARAD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "320-441-2104"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "MN",
            "license": "6586527",
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN LICENSE",
            "identifier": "6586527",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sam William Skoviera, OD
• John P Skretvedt, MD
• Tricia Sladky
• Kristin Jo Slagter
• Jessica Slavik
• Sleep Supply of Faribault, LLC
• Sleep Supply of Willmar, LLC
• Meghan Audrey Ann Sletten, CNP
• Nathaniel Slinkard, M.D.
• Jade Smith

• Sleep Disorder Diagnostic Clinic/Center in Willmar, MN
• Providers in Willmar, MN by specialty
• Sleep Disorder Diagnostic Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.