Organization Active NPI

Fort Smith Sleep Lab LLC

Doing business as Disease Prevention Services

  • Specialist
  • Fort Smith, AR
National Provider Identifier
1851619415
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FORT SMITH SLEEP LAB LLC
Doing business as
Disease Prevention Services
Practice address
4200 Jenny Lind Rd
Suite C
Fort Smith, AR 72901-7660
Phone
(479) 646-2229
Fax
(479) 646-1984
NPI assigned
May 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Mrs. Deirdre Klug
Title
Office Assistant
Phone
(479) 646-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4200 Jenny Lind Rd
Suite C
Fort Smith, AR 72901-7660

Mailing address

4200 Jenny Lind Rd
Suite C
Fort Smith, AR 72901-7660
Phone (479) 646-2229

Other names 1

  • DISEASE PREVENTION SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

4200 Jenny Lind Rd
Ste C
Fort Smith, AR 72901
Phone (479) 318-2828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1851619415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 JENNY LIND RD",
            "address_2": "SUITE C",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017660",
            "telephone_number": "479-646-2229",
            "fax_number": "479-646-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 JENNY LIND RD",
            "address_2": "SUITE C",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017660",
            "telephone_number": "479-646-2229",
            "fax_number": "479-646-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SMITH SLEEP LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "KLUG",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "479-646-2229",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DISEASE PREVENTION SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.