Organization Active NPI

Comprehensive Sleep Solutions, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Farmington, NM
National Provider Identifier
1790720662
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
03-001252-00-0 Issued in NM
Legal business name
COMPREHENSIVE SLEEP SOLUTIONS, LLC
Practice address
4801 N Butler Ave
Ste 6102
Farmington, NM 87401-6002
Phone
(505) 327-6776
Fax
(505) 327-5597
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Teri Lynn Jamison
Title
Government Compliance Manager
Phone
(480) 446-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 03-001252-00-0 NM Primary

Addresses

Primary practice location

4801 N Butler Ave
Ste 6102
Farmington, NM 87401-6002

Mailing address

PO Box 40520
Mesa, AZ 85274-0520
Phone (480) 446-9010

Other identifiers 1

IdentifierTypeStateIssuer
NMB2416OtherNMMEDICARE PTAN # EFFECTIVE 01/14/10

National Provider Directory

National Provider Directory

Locations

4801 N Butler Ave
Ste 6102
Farmington, NM 87401
Phone (505) 278-7336

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1790720662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40520",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852740520",
            "telephone_number": "480-446-9010",
            "fax_number": "480-993-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N BUTLER AVE",
            "address_2": "STE 6102",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016002",
            "telephone_number": "505-327-6776",
            "fax_number": "505-327-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SLEEP SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "GOVERNMENT COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "480-446-9010"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NM",
            "license": "03-001252-00-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN # EFFECTIVE 01/14/10",
            "identifier": "NMB2416",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.