NPIMap

Organization Active NPI

Kokomo Sleep Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Kokomo, IN
National Provider Identifier
1578655379
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
KOKOMO SLEEP CENTER, LLC
Practice address
1542 Dixon Road
Suite G/H
Kokomo, IN 46902
Phone
(765) 453-8504
NPI assigned
Sep 29, 2006
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. Jaro Mayda, M.D.NPI 1326104993
Title
Physician
Phone
(765) 453-8504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1542 Dixon Road
Suite G/H
Kokomo, IN 46902

Mailing address

1542 Dixon Road
Suite G/H
Kokomo, IN 46902
Phone (765) 453-8504

National Provider Directory

National Provider Directory

Locations

1542 S Dixon Rd
Ste Gh
Kokomo, IN 46902
Phone (765) 453-8504

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1578655379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 DIXON ROAD",
            "address_2": "SUITE G/H",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "46902",
            "telephone_number": "765-453-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 DIXON ROAD",
            "address_2": "SUITE G/H",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "46902",
            "telephone_number": "765-453-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKOMO SLEEP CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "MAYDA",
        "authorized_official_first_name": "JARO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "765-453-8504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.