Organization Active NPI

Wellness in Sleep PA

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1720107048
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
WELLNESS IN SLEEP PA
Practice address
908 W Terrell Ave N
Fort Worth, TX 76104-3034
Phone
(817) 820-0427
Fax
(271) 820-0430
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Ann C Reynolds
Title
VP
Phone
(817) 820-0427

Specialties & licenses 1

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

Addresses

Primary practice location

908 W Terrell Ave N
Fort Worth, TX 76104-3034

Mailing address

908 W Terrell Ave N
Fort Worth, TX 76104-3034
Phone (817) 820-0427

Other identifiers 1

IdentifierTypeStateIssuer
1568401594OtherTXNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050322000213 TX Part B Supplier - Clinic/Group Practice 0749235877 Receives reassigned benefits from 5 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

431 Omega Dr
Ste 102
Arlington, TX 76014

8140 Walnut Hill Ln
Ste 308
Dallas, TX 75231
Phone (214) 348-5557

7500 Preston Rd
Ste 100
Plano, TX 75024

Practitioners & affiliated clinicians

Practitioners 5

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1720107048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 W TERRELL AVE N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043034",
            "telephone_number": "817-820-0427",
            "fax_number": "271-820-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W TERRELL AVE N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043034",
            "telephone_number": "817-820-0427",
            "fax_number": "271-820-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS IN SLEEP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "817-820-0427"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568401594",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.