Active NPI
Central Indiana Sleep and Wellness
- Durable Medical Equipment & Medical Supplies
- North Judson, IN
National Provider Identifier
1790237600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 12010699A
- Legal business name
- CENTRAL INDIANA SLEEP AND WELLNESS
- Practice address
- 106 W Sycamore St
North Judson, IN 46366-1246 - Phone
- (574) 896-2543
- Fax
- (574) 896-2565
- NPI assigned
- Oct 26, 2016
- Last updated
- Oct 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Jon Bilyak, D.D.S.
- Title
- Dentist Owner
- Phone
- (574) 896-2543
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 12010699A | IN | Primary |
Addresses
Primary practice location
106 W Sycamore St
North Judson, IN 46366-1246
Mailing address
106 W Sycamore St
North Judson, IN 46366-1246
Phone (574) 896-2543
National Provider Directory
National Provider DirectoryLocations
106 W Sycamore St
North Judson, IN 46366
Phone (574) 896-2543
106 W Sycamore St
#B
North Judson, IN 46366
Phone (574) 896-2543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477440000000",
"number": "1790237600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 W SYCAMORE ST",
"city": "NORTH JUDSON",
"state": "IN",
"postal_code": "463661246",
"telephone_number": "574-896-2543",
"fax_number": "574-896-2565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 W SYCAMORE ST",
"city": "NORTH JUDSON",
"state": "IN",
"postal_code": "463661246",
"telephone_number": "574-896-2543",
"fax_number": "574-896-2565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL INDIANA SLEEP AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A",
"authorized_official_last_name": "BILYAK",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "JON",
"authorized_official_title_or_position": "DENTIST OWNER",
"authorized_official_telephone_number": "574-896-2543",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IN",
"license": "12010699A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Judson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.