Active NPI
Comprehensive Sleep Solutions, LLC
- Sleep Disorder Diagnostic Clinic/Center
- Farmington, NM
National Provider Identifier
1790720662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- License
- 03-001252-00-0
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NMB2416 | Other | NM | MEDICARE PTAN # EFFECTIVE 01/14/10 |
National Provider Directory
National Provider DirectoryLocations
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.