Active NPI
Sleep Enhancement Center LLC
- Customized Equipment (DME)
- Austin, MN
National Provider Identifier
1881968477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- D-9111
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.