Organization Active NPI

Sleep Directions LLC

  • Clinic/Center
  • Idaho Falls, ID
National Provider Identifier
1790460160
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SLEEP DIRECTIONS LLC
Practice address
2238 Saratoga Dr
Idaho Falls, ID 83404-5109
Phone
(208) 701-2720
Fax
(208) 701-2939
NPI assigned
Jun 21, 2023
Last updated
Jun 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Mark A Tall, DDS
Title
Owner
Phone
(208) 701-2720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2238 Saratoga Dr
Idaho Falls, ID 83404-5109

Mailing address

2238 Saratoga Dr
Idaho Falls, ID 83404-5109
Phone (208) 701-2720

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1790460160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 SARATOGA DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045109",
            "telephone_number": "208-701-2720",
            "fax_number": "208-701-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 SARATOGA DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045109",
            "telephone_number": "208-701-2720",
            "fax_number": "208-701-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DIRECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "TALL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-701-2720",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.