Organization Active NPI

Edward B. Steffner

  • Sleep Disorder Diagnostic Clinic/Center
  • Johnson City, TN
National Provider Identifier
1477561645
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
EDWARD B. STEFFNER
Practice address
110 E Mountcastle Dr
Suite 4
Johnson City, TN 37601-2539
Phone
(423) 928-7770
Fax
(423) 283-0433
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Mr. Edward B Steffner, R.R.T
Title
President - Owner
Phone
(423) 928-7770

Specialties & licenses 1

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

Addresses

Primary practice location

110 E Mountcastle Dr
Suite 4
Johnson City, TN 37601-2539

Mailing address

110 E Mountcastle Dr
Suite 4
Johnson City, TN 37601-2539
Phone (423) 928-7770

Other identifiers 1

IdentifierTypeStateIssuer
4130343OtherSDBCBS OF TN

National Provider Directory

National Provider Directory

Locations

110 E Mountcastle Dr
Ste 4
Johnson City, TN 37601
Phone (423) 928-7770

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1477561645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MOUNTCASTLE DR",
            "address_2": "SUITE 4",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012539",
            "telephone_number": "423-928-7770",
            "fax_number": "423-283-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MOUNTCASTLE DR",
            "address_2": "SUITE 4",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012539",
            "telephone_number": "423-928-7770",
            "fax_number": "423-283-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD B. STEFFNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "STEFFNER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT - OWNER",
        "authorized_official_telephone_number": "423-928-7770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.R.T"
    },
    "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": "BCBS OF TN",
            "identifier": "4130343",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.