Organization Active NPI

Advanced Sleep Solutions

  • Sleep Medicine (Internal Medicine) Physician
  • Lehi, UT
National Provider Identifier
1821492968
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
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

Updated by the provider on Nov 21, 2020

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)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
870281028000MedicaidUT

Other names 1

  • Advanced Sleep Solutions LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150319001912 UT Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7416050489 Practice locations: Provo, UT

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.