Active NPI
Advanced Sleep Solutions
- Sleep Medicine (Internal Medicine) Physician
- Lehi, UT
National Provider Identifier
1821492968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- Legal business name
- ADVANCED SLEEP SOLUTIONS
- Practice address
- 2183 W Main St Ste A208
Lehi, UT 84043-6762 - Phone
- (801) 418-9167
- Fax
- (801) 701-2114
- NPI assigned
- Oct 17, 2014
- 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
- Carline Risser
- Title
- Manager
- Phone
- (801) 418-9167
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | Primary | ||
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X |
Addresses
Primary practice location
2183 W Main St Ste A208
Lehi, UT 84043-6762
Mailing address
2183 W Main St Ste A208
Lehi, UT 84043-6762
Phone (801) 418-9167
Other practice location 1
325 W Center St Ste 207
Spanish Fork, UT 84660-2060
Phone (801) 418-9167
Other practice location 2
3765 N University Ave
Suite 102
Provo, UT 84604-4959
Phone (801) 418-9167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870281028000 | Medicaid | UT |
Other names 1
- Advanced Sleep Solutions LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150319001912 | UT | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7416050489 | Practice locations: Provo, UT |
National Provider Directory
National Provider DirectoryLocations
2183 W Main St
Ste A208
Lehi, UT 84043
Phone (801) 418-9167
3768 N University Ave
Ste 102
Provo, UT 84604
Phone (801) 418-9167
1806 N 1120 W
Provo, UT 84604
Phone (801) 418-9167
3765 N 40 E
Ste 102
Provo, UT 84604
Phone (801) 418-9167
325 W Center St
Ste 207
Spanish Fork, UT 84660
Phone (801) 418-9167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605916800000",
"number": "1821492968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2183 W MAIN ST STE A208",
"city": "LEHI",
"state": "UT",
"postal_code": "840436762",
"telephone_number": "801-418-9167",
"fax_number": "801-701-2114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2183 W MAIN ST STE A208",
"city": "LEHI",
"state": "UT",
"postal_code": "840436762",
"telephone_number": "801-418-9167",
"fax_number": "801-701-2114"
}
],
"practiceLocations": [
{
"address_1": "325 W Center St Ste 207",
"address_purpose": "LOCATION",
"city": "Spanish Fork",
"state": "UT",
"postal_code": "846602060",
"country_code": "US",
"telephone_number": "801-418-9167",
"fax_number": "801-701-2114",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3765 N University Ave",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846044959",
"country_code": "US",
"telephone_number": "801-418-9167",
"fax_number": "801-701-2114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ADVANCED SLEEP SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-17",
"last_updated": "2020-11-21",
"certification_date": "2020-11-21",
"status": "A",
"authorized_official_last_name": "RISSER",
"authorized_official_first_name": "CARLINE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "801-418-9167"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "870281028000",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Sleep Solutions LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.