Advanced Sleep Care Centers of
Organization Active NPI Customized Equipment (DME) · Centennial, CO
NPI 1821477027 · NPPES record last updated Oct 7, 2015
Key facts
- NPI
- 1821477027
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Customized Equipment (DME) 332BC3200X
- Legal business name
- ADVANCED SLEEP CARE CENTERS OF
- Practice address
- 6979 S Holly Cir Ste 185
Centennial, CO 80112-1065 - Phone
- (720) 457-1110
- Fax
- (303) 773-3726
- NPI assigned
- May 21, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- PATRICK T PRENDERGAST, DDS, PC
Authorized official
- Name
- Jane Marie Prendergast
- Title
- Sole MBR
- Phone
- (720) 457-1110
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150818004395 | CO | DME Supplier - Oral Surgery - Dentist | 8628383841 | Practice locations: Centennial, CO |
National Provider Directory
- Part of
- Advanced Dental Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | |||
| Customized Equipment (DME) | 332BC3200X | Yes |
Addresses
Primary practice location
6979 S Holly Cir Ste 185
Centennial, CO 80112-1065
Mailing address
6979 S Holly Cir Ste 185
Centennial, CO 80112-1065
Phone (720) 457-1110
Other providers in Centennial, CO
- Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.
- Advanced Eyecare Centers, PC
- Advanced Home Care Services, Inc.
- Advanced Pain and Anesthesia Services, PC
- Advanced Periodontics & Implant Dentistry PLLC
- Advanced Urgent Care LLC
- Affinity Chiropractic PC
- Affordable Dentures & Implants - Centennial II, P.C.
- Affordable Dentures & Implants Centennial III PC
- After the Call Counseling, PLLC
All providers in Centennial, CO · Customized Equipment (DME) in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.