Organization Active NPI

Sound Sleep Clinic, PLLC

  • Specialist
  • Bainbridge Island, WA
National Provider Identifier
1508804147
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00036445 Issued in WA
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

Updated by the provider on Mar 18, 2016

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.