Organization Active NPI

In Your Dreams International Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Niceville, FL
National Provider Identifier
1477587145
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
IN YOUR DREAMS INTERNATIONAL INC
Practice address
4566 E Highway 20
Suite 108
Niceville, FL 32578-8838
Phone
(850) 729-3930
Fax
(850) 729-3933
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Authorized official

Name
Joseph Rose
Title
VP of Finance & Administration
Phone
(978) 536-7400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

4566 E Highway 20
Suite 108
Niceville, FL 32578-8838

Mailing address

200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400

Other identifiers 2

IdentifierTypeStateIssuer
94735OtherFLBLUE CROSS BLUE SHIELD
V00E7OtherFLBCBS OF FLORIDA

Other names 1

  • Emerald Coast Sleep Disorders Center Doing business as

National Provider Directory

National Provider Directory

Locations

36474 Emerald Coast Pkwy
Ste 4101
Destin, FL 32541
Phone (850) 269-3930

996 Airport Rd
Ste G105
Destin, FL 32541
Phone (850) 269-1322

907 Mar Walt Dr
Ste 2071
Fort Walton Beach, FL 32547
Phone (850) 863-0006

4566 E Highway 20
Ste 207
Niceville, FL 32578
Phone (850) 269-3930

Practitioners & affiliated clinicians

Practitioners 7

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1477587145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE PL",
            "address_2": "SUITE 5B",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603840",
            "telephone_number": "978-536-7400",
            "fax_number": "978-535-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E HIGHWAY 20",
            "address_2": "SUITE 108",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788838",
            "telephone_number": "850-729-3930",
            "fax_number": "850-729-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN YOUR DREAMS INTERNATIONAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VP OF FINANCE & ADMINISTRATION",
        "authorized_official_telephone_number": "978-536-7400"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "94735",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "V00E7",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald Coast Sleep Disorders Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.