Organization Active NPI

Sound Sleep Faribault, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Willmar, MN
National Provider Identifier
1619308673
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SOUND SLEEP FARIBAULT, LLC
Practice address
309 Lakeland Dr SE
Suite 4
Willmar, MN 56201-3997
Phone
(320) 441-2104
Fax
(320) 441-2052
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Jarad Douglas Ripperger
Title
Owner
Phone
(320) 441-2104

Specialties & licenses 1

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

Addresses

Primary practice location

309 Lakeland Dr SE
Suite 4
Willmar, MN 56201-3997

Mailing address

1575 20TH St NW
Suite 209
Faribault, MN 55021-2930
Phone (320) 441-2104

National Provider Directory

National Provider Directory

Locations

309 Lakeland Dr SE
Ste 4
Willmar, MN 56201
Phone (320) 441-2104

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1619308673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW",
            "address_2": "SUITE 209",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212930",
            "telephone_number": "320-441-2104",
            "fax_number": "320-441-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 LAKELAND DR SE",
            "address_2": "SUITE 4",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013997",
            "telephone_number": "320-441-2104",
            "fax_number": "320-441-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND SLEEP FARIBAULT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "RIPPERGER",
        "authorized_official_first_name": "JARAD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-441-2104"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.