Organization Active NPI

Advanced Sleep Care Centers of

  • Customized Equipment (DME)
  • Centennial, CO
National Provider Identifier
1821477027
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 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
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PATRICK T PRENDERGAST, DDS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Jane Marie Prendergast
Title
Sole MBR
Phone
(720) 457-1110

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
Customized Equipment (DME) 332BC3200X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150818004395 CO DME Supplier - Oral Surgery - Dentist 8628383841 Practice locations: Centennial, CO

National Provider Directory

National Provider Directory
Part of
Advanced Dental Health

Locations

6979 S Holly Cir
Ste 185
Centennial, CO 80112
Phone (303) 771-0225

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": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1821477027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6979 S HOLLY CIR STE 185",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121065",
            "telephone_number": "720-457-1110",
            "fax_number": "303-773-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6979 S HOLLY CIR STE 185",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121065",
            "telephone_number": "720-457-1110",
            "fax_number": "303-773-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SLEEP CARE CENTERS OF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATRICK T PRENDERGAST, DDS, PC",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "PRENDERGAST",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "720-457-1110"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.