Organization Active NPI

Sleep Enhancement Center LLC

  • Customized Equipment (DME)
  • Austin, MN
National Provider Identifier
1881968477
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
D-9111 Issued in MN
Legal business name
SLEEP ENHANCEMENT CENTER LLC
Practice address
800 1St Ave SW
Suite 111
Austin, MN 55912-2507
Phone
(507) 437-8009
NPI assigned
Feb 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Peter Bruce Green, DDS
Title
Sleep Medicine Dentist
Phone
(507) 437-8009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X D-9111 MN Primary

Addresses

Primary practice location

800 1St Ave SW
Suite 111
Austin, MN 55912-2507

Mailing address

800 1St Ave SW
Suite 111
Austin, MN 55912-2507
Phone (507) 437-8009

National Provider Directory

National Provider Directory

Locations

800 1st Ave SW
Ste 111
Austin, MN 55912
Phone (507) 437-8009

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1881968477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 1ST AVE SW",
            "address_2": "SUITE 111",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559122507",
            "telephone_number": "507-437-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 1ST AVE SW",
            "address_2": "SUITE 111",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559122507",
            "telephone_number": "507-437-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP ENHANCEMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "SLEEP MEDICINE DENTIST",
        "authorized_official_telephone_number": "507-437-8009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MN",
            "license": "D-9111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.