Organization Active NPI

Pediatric Pulmonary and Sleep Specialists, PLLC

Doing business as Pediatric Sleep Specialists

  • Pediatric Sleep Medicine Physician
  • Loveland, CO
National Provider Identifier
1790377406
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X
Legal business name
PEDIATRIC PULMONARY AND SLEEP SPECIALISTS, PLLC
Doing business as
Pediatric Sleep Specialists
Practice address
2021 N Boise Ave
Loveland, CO 80538-8053
Phone
(970) 527-1122
Fax
(970) 527-1123
NPI assigned
Feb 4, 2021
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Amanda Harris
Title
Practice Manager
Phone
(719) 638-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sleep Medicine Physician 2080S0012X NU Primary

Addresses

Primary practice location

2021 N Boise Ave
Loveland, CO 80538-8053

Mailing address

9235 N Union Blvd Ste 150334
Colorado Springs, CO 80920-7831
Phone (719) 638-1122

Other names 1

  • Pediatric Sleep Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Pulmonary and Sleep Specialists PLLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1790377406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 N UNION BLVD STE 150334",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207831",
            "telephone_number": "719-638-1122",
            "fax_number": "719-638-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N BOISE AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388053",
            "telephone_number": "970-527-1122",
            "fax_number": "970-527-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PULMONARY AND SLEEP SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "719-638-1122"
    },
    "taxonomies": [
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Sleep Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Sleep Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.