Active NPI
Sound Sleep Clinic, PLLC
- Specialist
- Bainbridge Island, WA
National Provider Identifier
1508804147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00036445
- Legal business name
- SOUND SLEEP CLINIC, PLLC
- Practice address
- 9638 NE Lafayette Ave
Bainbridge Island, WA 98110-1115 - Phone
- (360) 344-3701
- Fax
- (360) 344-3702
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jakdek Nikomborirak, MD
- Title
- Owner
- Phone
- (360) 683-8544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00036445 | WA | Primary |
Addresses
Primary practice location
9638 NE Lafayette Ave
Bainbridge Island, WA 98110-1115
Mailing address
PO Box 11648
Bainbridge Island, WA 98110-5648
Phone (360) 344-3701
National Provider Directory
National Provider DirectoryLocations
512 E Washington St
Sequim, WA 98382
Phone (360) 683-3892
9833 Poplars Ave NW
#104
Silverdale, WA 98383
Phone (360) 683-8544
9833 Poplars Ave NW
Ste 104
Silverdale, WA 98383
Phone (360) 683-8544
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Sequim, WA
- NPI 1063442374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458259200000",
"number": "1508804147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11648",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981105648",
"telephone_number": "360-344-3701",
"fax_number": "360-344-3702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9638 NE LAFAYETTE AVE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101115",
"telephone_number": "360-344-3701",
"fax_number": "360-344-3702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUND SLEEP CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2016-03-18",
"status": "A",
"authorized_official_last_name": "NIKOMBORIRAK",
"authorized_official_first_name": "JAKDEK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-683-8544",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WA",
"license": "MD00036445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.