Im Professional Services LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

IM PROFESSIONAL SERVICES LLC

Doing business as

Kitsap Sleep & TMJ Center

Practice address

1040 NE Hostmark St Ste 100a
Poulsbo, WA 98370-7337

Phone

(360) 779-4556

Fax

(360) 779-1212

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Im, DDSNPI 1598927105

Title

Owner

Phone

(360) 779-4556

Specialties & licenses 1

Addresses

Other names 1

• Kitsap Sleep & TMJ Center Doing business as

Practitioners 1

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

• Patrick H Im, D.D.S.

  • Dentist
  • Ooltewah, TN
  • NPI 1598927105
  NPD Authorized official

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1497470181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NE HOSTMARK ST STE 100A",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707337",
            "telephone_number": "360-779-4556",
            "fax_number": "360-779-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 NE HOSTMARK ST STE 100A",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707337",
            "telephone_number": "360-779-4556",
            "fax_number": "360-779-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IM PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-779-4556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kitsap Sleep & TMJ Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hummingbird Healing Arts Inc.
• Ron Hunter, NCSP
• Sharman K Hurlow, MD
• Heidi Lilia Hutchinson, MD
• Ikinya LLC (Ikinya Pharmacy)
• Im Professional Services PLLC
• Simone A Ince, MD
• Inhealth Imaging, LLC
• Jackie Snapp, DDS, PLLC
• John Douglas Jaco, LICSW

• Dental Clinic/Center in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.