Active NPI
Digitrace Care Services Inc.
- Sleep Disorder Diagnostic Clinic/Center
- Fairfax, VA
National Provider Identifier
1942233036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- DIGITRACE CARE SERVICES INC.
- Practice address
- 8505 Arlington Blvd
Suite 450
Fairfax, VA 22031-4621 - Phone
- (703) 383-0156
- Fax
- (703) 383-0158
- NPI assigned
- Jul 9, 2006
- Last updated
- Jun 26, 2008
- 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
- Mr. Carl R. Iberger
- Title
- Evp,Cfo
- Phone
- (978) 536-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | NU | Primary |
Addresses
Primary practice location
8505 Arlington Blvd
Suite 450
Fairfax, VA 22031-4621
Mailing address
200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 419630 | Other | MD | CARE FIRST |
| 102822 | Other | VA | KAISER |
| 85970002 | Other | VA | CARE FIRST |
| 85TZDI | Other | MD | CARE FIRST |
| 252927 | Other | VA | MDIPA |
| 520537 | Other | MD | CARE FIRST |
| 7618325 | Other | VA | AETNA |
| 659561 | Other | VA | SOUTHERN HEALTH |
| 85970001 | Other | VA | CARE FIRST |
| 202073 | Other | VA | ANTHEM BCBS - PIN |
| 252927 | Other | VA | MAMSI |
| 252927 | Other | VA | ALLIANCE |
| 252927 | Other | VA | OPTIMUM |
| 2860005 | Other | VA | AETNA |
| MT35 | Other | VA | BCBS |
| 002284081 | Medicaid | VA | |
| 8011510 | Other | VA | CIGNA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Medi Home Care
- Durable Medical Equipment & Medical Supplies
- Chesapeake, VA
- NPI 1629051719
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1942233036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE PL",
"address_2": "SUITE 5B",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603840",
"telephone_number": "978-536-7400",
"fax_number": "978-535-9757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8505 ARLINGTON BLVD",
"address_2": "SUITE 450",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314621",
"telephone_number": "703-383-0156",
"fax_number": "703-383-0158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGITRACE CARE SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "IBERGER",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "EVP,CFO",
"authorized_official_telephone_number": "978-536-7400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "419630",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "102822",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "85970002",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "85TZDI",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA",
"identifier": "252927",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "520537",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7618325",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "659561",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "85970001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS - PIN",
"identifier": "202073",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "252927",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE",
"identifier": "252927",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM",
"identifier": "252927",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2860005",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "MT35",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002284081",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8011510",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.