NPIMap

Organization Active NPI

Premierneuro, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Cary, NC
National Provider Identifier
1689951287
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
PREMIERNEURO, INC.
Practice address
1130 Kildaire Farm Rd
Suite 100
Cary, NC 27511-4561
Phone
(919) 803-5480
Fax
(919) 803-5481
NPI assigned
Nov 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Mirsa Nieland
Title
Owner/President
Phone
(919) 803-5480

Specialties & licenses 1

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

Addresses

Primary practice location

1130 Kildaire Farm Rd
Suite 100
Cary, NC 27511-4561

Mailing address

1130 Kildaire Farm Rd
Suite 100
Cary, NC 27511-4561
Phone (919) 803-5480

National Provider Directory

National Provider Directory

Locations

1130 Kildaire Farm Rd
Ste 100
Cary, NC 27511
Phone (919) 803-5480

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1689951287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 KILDAIRE FARM RD",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114561",
            "telephone_number": "919-803-5480",
            "fax_number": "919-803-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 KILDAIRE FARM RD",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114561",
            "telephone_number": "919-803-5480",
            "fax_number": "919-803-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERNEURO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "NIELAND",
        "authorized_official_first_name": "MIRSA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "919-803-5480"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.