Organization Active NPI

Indiana Sleep Center LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Greenwood, IN
National Provider Identifier
1831422989
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
01036623A Issued in IN
Legal business name
INDIANA SLEEP CENTER LLC
Practice address
701 E County Line Rd
Suite 207
Greenwood, IN 46143-1072
Phone
(317) 887-6400
Fax
(317) 887-6500
NPI assigned
Sep 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Mrs. Chanda J Beckner
Title
Vice President of Operations
Phone
(317) 885-3787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 01036623A IN Primary

Addresses

Primary practice location

701 E County Line Rd
Suite 207
Greenwood, IN 46143-1072

Mailing address

701 E County Line Rd
Suite 207
Greenwood, IN 46143-1072
Phone (317) 887-6400

Other identifiers 1

IdentifierTypeStateIssuer
01067876AOtherINMEDICAL DIRECTOR LICENSE NUMBER

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

701 E County Line Rd
Ste 207
Greenwood, IN 46143
Phone (317) 887-6400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1831422989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E COUNTY LINE RD",
            "address_2": "SUITE 207",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431072",
            "telephone_number": "317-887-6400",
            "fax_number": "317-887-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E COUNTY LINE RD",
            "address_2": "SUITE 207",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431072",
            "telephone_number": "317-887-6400",
            "fax_number": "317-887-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA SLEEP CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "BECKNER",
        "authorized_official_first_name": "CHANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "317-885-3787",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "IN",
            "license": "01036623A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DIRECTOR LICENSE NUMBER",
            "identifier": "01067876A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.