White Mountain Sleep Lab, Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

WHITE MOUNTAIN SLEEP LAB, INC

Practice address

1792 Commerce Dr
Lakeside, AZ 85929-5392

Phone

(928) 368-3965

Fax

(928) 358-4601

NPI assigned

Mar 24, 2008

Organization subpart

Yes

Parent organization

WHITE MOUNTAIN SLEEP LAB, INCAs reported in NPPES

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

Authorized official

Name

Mrs. April R Gentry

Title

President

Phone

(928) 368-3965

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Part of

White Mountain Sleep Lab

Locations

Practitioners 1

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

• Robert G Matheny, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Kingman, AZ
  • NPI 1225142557
  NPD

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1750553350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 COMMERCE DR",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295392",
            "telephone_number": "928-368-3965",
            "fax_number": "928-358-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 COMMERCE DR",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295392",
            "telephone_number": "928-368-3965",
            "fax_number": "928-358-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE MOUNTAIN SLEEP LAB, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE MOUNTAIN SLEEP LAB, INC",
        "enumeration_date": "2008-03-24",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-368-3965",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Mountain Hearing Services, LLC
• White Mountain Imaging, LLC
• White Mountain Medical Consultants LLC
• White Mountain Pediatrics, PC
• White Mountain Psychological Services, LTD
• Jesse Wilcock, OTR/L
• Roy Doyle Wilkins, D.C., DABCN
• Erin Willoby
• Women First GYN PLLC

• Sleep Disorder Diagnostic Clinic/Center in Lakeside, AZ
• Providers in Lakeside, AZ by specialty
• Sleep Disorder Diagnostic Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.