NPIMap

Organization Active NPI

Sleep Centers of Alaska LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Wasilla, AK
National Provider Identifier
1639444599
Registry record updated Feb 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SLEEP CENTERS OF ALASKA LLC
Practice address
1700 E Bogard Rd Ste 102Ab
Wasilla, AK 99654-6563
Phone
(907) 357-8410
Fax
(907) 357-8423
NPI assigned
Mar 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2022

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

Authorized official

Name
Dr. Deborah A Ziwot
Title
Executive Vice-President
Phone
(314) 302-9307

Specialties & licenses 1

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

Addresses

Primary practice location

1700 E Bogard Rd Ste 102Ab
Wasilla, AK 99654-6563

Mailing address

2421 E Tudor Rd Ste 102
Anchorage, AK 99507-1166
Phone (907) 677-8889

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120820001167 AK Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5698950632 Practice locations: Wasilla, AK

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Sleep Centers of Alaska LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

351 W Parks Hwy
Ste 100
Wasilla, AK 99654
Phone (907) 357-8410

1700 E Bogard Rd
Ste A102
Wasilla, AK 99654
Phone (907) 357-8483

1700 E Bogard Rd
Ste 102AB
Wasilla, AK 99654
Phone (314) 312-5588

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645920000000",
    "number": "1639444599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 E TUDOR RD STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071166",
            "telephone_number": "907-677-8889",
            "fax_number": "907-677-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD STE 102AB",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546563",
            "telephone_number": "907-357-8410",
            "fax_number": "907-357-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP CENTERS OF ALASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2022-02-27",
        "certification_date": "2022-02-27",
        "status": "A",
        "authorized_official_last_name": "ZIWOT",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE VICE-PRESIDENT",
        "authorized_official_telephone_number": "314-302-9307",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2022; 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.