Center for Sleep LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

10030 Issued in ND

Legal business name

CENTER FOR SLEEP LLC

Practice address

4152 30TH Ave S
Suite 103B
Fargo, ND 58104-8403

Phone

(701) 356-3000

Fax

(701) 271-9260

NPI assigned

Mar 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Seema Khosla, MDNPI 1659462455

Title

Medical Doctor

Phone

(701) 356-3000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 1

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

• Seema Khosla, MD

  • Pulmonary Disease Physician
  • Fargo, ND
  • NPI 1659462455
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1740503358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 30TH AVE S",
            "address_2": "SUITE 103B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048403",
            "telephone_number": "701-356-3000",
            "fax_number": "701-271-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 30TH AVE S",
            "address_2": "SUITE 103B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048403",
            "telephone_number": "701-356-3000",
            "fax_number": "701-271-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SLEEP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "KHOSLA",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "701-356-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "ND",
            "license": "10030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15430",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740503358",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sleep Medicine (Internal Medicine) Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Sleep Medicine (Internal Medicine) Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.