1 Stop Cpap Shop

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

16-00017353 Issued in AZ

Legal business name

1 STOP CPAP SHOP

Practice address

7760 E State Route 69
C5-207
Prescott Valley, AZ 86314-2201

Phone

(928) 899-6686

Fax

(877) 275-2212

NPI assigned

Dec 8, 2016

Last updated

Apr 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kory D Johnson, RPSGT

Title

Clinical Sleep Educator

Phone

(928) 899-6686

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1861936908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 E STATE ROUTE 69",
            "address_2": "C5-207",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142201",
            "telephone_number": "928-899-6686",
            "fax_number": "877-275-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 E STATE ROUTE 69",
            "address_2": "C5-207",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142201",
            "telephone_number": "928-899-6686",
            "fax_number": "877-275-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 STOP CPAP SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICAL SLEEP EDUCATOR",
        "authorized_official_telephone_number": "928-899-6686",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "AZ",
            "license": "16-00017353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC (Safeway Pharmacy #1055)
• 5 Element Acupuncture Center
• 89A Dental Care PLLC (89A Dental Care)
• A New Day a New Chance LLC
• Andrea J. Abad, LPC

• Sleep Disorder Diagnostic Clinic/Center in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Sleep Disorder Diagnostic Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.