NPIMap

Organization Active NPI

Anchorage Sleep Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Anchorage, AK
National Provider Identifier
1609182849
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
947364 Issued in AK
Legal business name
ANCHORAGE SLEEP CENTER, LLC
Practice address
510 W Tudor Rd
Suite 5
Anchorage, AK 99503-6649
Phone
(907) 887-9520
NPI assigned
Aug 25, 2010
Last updated
Mar 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 947364 AK Primary

Addresses

Primary practice location

510 W Tudor Rd
Suite 5
Anchorage, AK 99503-6649

Mailing address

510 W Tudor Rd
Suite 5
Anchorage, AK 99503-6649
Phone (907) 887-9520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120719000535 AK Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5890964746 Practice locations: Wasilla, AK
O20190311000737 AK Part B Supplier - Clinic/Group Practice 5890964746 Receives reassigned benefits from 11 practitioners
2 other NPIs on this 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

Locations

510 W Tudor Rd
Ste 5
Anchorage, AK 99503
Phone (907) 743-0050

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

475 Riverstone Way
Ste 1
Fairbanks, AK 99709
Phone (907) 374-9920

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

323 W Danview Ave
Ste 201
Homer, AK 99603
Phone (907) 235-7000

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

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": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1609182849",
    "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": "907-887-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W TUDOR RD",
            "address_2": "SUITE 5",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036649",
            "telephone_number": "907-887-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE SLEEP CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "D.",
        "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": "947364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.