Idaho Sleep Specialists PC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

IDAHO SLEEP SPECIALISTS PC

Practice address

403 S 11TH St Ste 210
Boise, ID 83702-6968

Phone

(208) 895-0411

Fax

(208) 895-0406

NPI assigned

Aug 29, 2018

Last updated

Aug 29, 2018By 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

Brett Troyer, MDNPI 1841385523

Title

Owner

Phone

(208) 895-0411

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Idaho Sleep Specialists Sleep Lab Other name

Tax ID family

Idaho Sleep Specialists DME2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Idaho Sleep Specialists, PC

  • Durable Medical Equipment & Medical Supplies
  • Boise, ID
  • NPI 1922599067
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brett Troyer, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Boise, ID
  • NPI 1841385523
  NPD (past) Authorized official

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1942782735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9589",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837074589",
            "telephone_number": "208-472-8107",
            "fax_number": "208-472-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S 11TH ST STE 210",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026968",
            "telephone_number": "208-895-0411",
            "fax_number": "208-895-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO SLEEP SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "TROYER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-895-0411",
        "authorized_official_credential": "MD"
    },
    "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": "BLUE CROSS OF IDAHO",
            "identifier": "8N847",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idaho Sleep Specialists Sleep Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Idaho Skin Surgery Center, PC
• Idaho Sleep Services, LLC (Idaho Sleep Health)
• Idaho Sleep Solutions LLC
• Idaho Sleep Specialists, PC
• Idaho Sleep Specialists, PC
• Idaho Smiles Assoc PLLC
• Idaho Smiles Assoc. PLLS
• Idaho Speech & Swallow Services

• Sleep Disorder Diagnostic Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Sleep Disorder Diagnostic Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.