Ballantyne Sleep Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BALLANTYNE SLEEP DIAGNOSTICS

Practice address

11220 Elm LN
Suite 102
Charlotte, NC 28277-0715

Phone

(704) 641-5414

Fax

(704) 523-4080

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Derek E Denman

Title

Ceo

Phone

(901) 346-0767

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720134893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 AIRWAYS BLVD",
            "address_2": "SUITE G",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715138",
            "telephone_number": "662-349-9802",
            "fax_number": "662-349-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 ELM LN",
            "address_2": "SUITE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770715",
            "telephone_number": "704-641-5414",
            "fax_number": "704-523-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLANTYNE SLEEP DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENMAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-346-0767"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ballantyne Emergency Physicians PLLC
• Ballantyne Family Medicine PC
• Ballantyne Medical Associates PLLC
• Ballantyne Medical Associates PLLC
• Ballantyne Pharmacy LLC
• Elizabeth Ballantyne
• Ayanna Ballard
• Barbara Ballard, NURSE PRACTITIONER
• Barbara Ballard, PH.D.
• Jay Patrick Ballard, NP

• Clinical Medical Laboratory in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.