NPIMap

Organization Active NPI

Anchorage Sleep Center, LLC Dba Fairbanks Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Fairbanks, AK
National Provider Identifier
1578833265
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
963251 Issued in AK
Legal business name
ANCHORAGE SLEEP CENTER, LLC DBA FAIRBANKS SLEEP CENTER
Practice address
3405 Airport Way
Fairbanks, AK 99709-4761
Phone
(907) 374-9920
Fax
(907) 374-9930
NPI assigned
Jan 11, 2012
Last updated
Oct 19, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ANCHORAGE SLEEP CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Cameron Gardner
Title
Member
Phone
(907) 887-9520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 963251 AK Primary

Addresses

Primary practice location

3405 Airport Way
Fairbanks, AK 99709-4761

Mailing address

510 W Tudor Rd
Suite 5
Anchorage, AK 99503-6649
Phone (907) 374-9920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190311000737 AK Part B Supplier - Clinic/Group Practice 5890964746 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Soldotna, AK; Wasilla, AK; Juneau, AK; Homer, AK; Fairbanks, AK; Anchorage, AK

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Anchorage Sleep Center LLC

Locations

475 Riverstone Way
Fairbanks, AK 99709
Phone (907) 374-9920

323 W Danview Ave
Homer, AK 99603
Phone (907) 235-0000

4129 Bartlett St
Homer, AK 99603
Phone (907) 276-1315

2223 Jordan Ave
Juneau, AK 99801
Phone (907) 500-7368

8800 Glacier Hwy
Ste 215
Juneau, AK 99801
Phone (907) 500-7368

43335 Kalifornsky Beach Rd
Ste 25
Soldotna, AK 99669
Phone (907) 394-8345

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

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": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1578833265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W TUDOR RD",
            "address_2": "SUITE 5",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036649",
            "telephone_number": "907-374-9920",
            "fax_number": "907-374-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 AIRPORT WAY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094761",
            "telephone_number": "907-374-9920",
            "fax_number": "907-374-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE SLEEP CENTER, LLC DBA FAIRBANKS SLEEP CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANCHORAGE SLEEP CENTER, LLC",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "907-887-9520"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "AK",
            "license": "963251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.