Organization Active NPI

Novasleep, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1902195894
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
NOVASLEEP, LLC
Practice address
9475 Briar Village PT
Suite 320
Colorado Springs, CO 80920-7901
Phone
(719) 487-0890
Fax
(719) 484-0031
NPI assigned
Mar 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
John R Clarke
Title
Authorized Official
Phone
(719) 484-0000

Specialties & licenses 1

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

Addresses

Primary practice location

9475 Briar Village PT
Suite 320
Colorado Springs, CO 80920-7901

Mailing address

9475 Briar Village PT
Suite 320
Colorado Springs, CO 80920-7901
Phone (719) 487-0890

Other identifiers 2

IdentifierTypeStateIssuer
COB 5166OtherMEDICARE PTAN
43628346MedicaidCO

National Provider Directory

National Provider Directory

Locations

9475 Briar Village Pt
Ste 320
Colorado Springs, CO 80920
Phone (719) 337-2502

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1902195894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 BRIAR VILLAGE PT",
            "address_2": "SUITE 320",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207901",
            "telephone_number": "719-487-0890",
            "fax_number": "719-484-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 BRIAR VILLAGE PT",
            "address_2": "SUITE 320",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207901",
            "telephone_number": "719-487-0890",
            "fax_number": "719-484-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVASLEEP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "719-484-0000"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "COB 5166",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43628346",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.