Organization Active NPI

Overlake Sleep Disorders Center

  • Sleep Medicine (Internal Medicine) Physician
  • Bellevue, WA
National Provider Identifier
1619292596
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
OVERLAKE SLEEP DISORDERS CENTER
Practice address
1100 112TH Ave NE
Suite 320
Bellevue, WA 98004-4511
Phone
(425) 289-3000
Fax
(425) 289-3240
NPI assigned
Apr 2, 2010
Last updated
Jun 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Mr. Nghia Giang
Title
Ceo
Phone
(425) 974-7601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

1100 112TH Ave NE
Suite 320
Bellevue, WA 98004-4511

Mailing address

1100 112TH Ave NE
Suite 320
Bellevue, WA 98004-4511
Phone (425) 289-3000

National Provider Directory

National Provider Directory
Tax ID family
Overlake Internal Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1100 112th Ave NE
Ste 320
Bellevue, WA 98004
Phone (425) 289-3000

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1619292596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 112TH AVE NE",
            "address_2": "SUITE 320",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044511",
            "telephone_number": "425-289-3000",
            "fax_number": "425-289-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 112TH AVE NE",
            "address_2": "SUITE 320",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044511",
            "telephone_number": "425-289-3000",
            "fax_number": "425-289-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLAKE SLEEP DISORDERS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-02",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "GIANG",
        "authorized_official_first_name": "NGHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-974-7601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.