Prime Sleep Services Group, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

100912 Issued in TX

Legal business name

PRIME SLEEP SERVICES GROUP, LLC

Practice address

6401 Eldorado Pkwy
304
McKinney, TX 75070-5887

Phone

(214) 620-2057

Fax

(214) 620-2058

NPI assigned

Jun 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jack Gardner, MD

Title

Owner

Phone

(214) 537-8039

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1619231099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 ELDORADO PKWY",
            "address_2": "304",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705887",
            "telephone_number": "214-620-2057",
            "fax_number": "214-620-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 ELDORADO PKWY",
            "address_2": "304",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705887",
            "telephone_number": "214-620-2057",
            "fax_number": "214-620-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SLEEP SERVICES GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-537-8039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "100912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVICE DISTRIBUTOR LICENSE",
            "identifier": "100912",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prime Generation LLC
• Prime Periodontics PLLC (Prime Periodontics and Implants)
• Princeton Medical Associates PLLC
• Principle Medical, Inc.
• Prioritize Wellness
• Priority ER of McKinney PLLC
• Rachel Diane Privitt, LPC-A

• Durable Medical Equipment & Medical Supplies in McKinney, TX
• Providers in McKinney, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.