Anchorage Sleep Center, LLC Dba Wasilla Sleep Center

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

960257 Issued in AK

Legal business name

ANCHORAGE SLEEP CENTER, LLC DBA WASILLA SLEEP CENTER

Practice address

3719 E Meridian Loop
Suite C
Wasilla, AK 99654-7273

Phone

(907) 357-4200

Fax

(907) 357-4201

NPI assigned

Jan 11, 2012

Organization subpart

Yes

Parent organization

ANCHORAGE SLEEP CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Cameron Gardner

Title

Member

Phone

(907) 887-9520

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Anchorage Sleep Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Anchorage, AK
  • NPI 1609182849

  O20190311000737

  Same enrollment
• Anchorage Sleep Center, LLC Dba Fairbanks Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Fairbanks, AK
  • NPI 1578833265

  O20190311000737

  Same enrollment

Part of

Anchorage Sleep Center LLC Dba Kodiak Sleep Center

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Anchorage Sleep Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Anchorage, AK
  • NPI 1609182849
  NPPES parent name

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1952671646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W TUDOR RD",
            "address_2": "SUITE 5",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036649",
            "telephone_number": "907-357-4200",
            "fax_number": "907-357-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 E MERIDIAN LOOP",
            "address_2": "SUITE C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547273",
            "telephone_number": "907-357-4200",
            "fax_number": "907-357-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE SLEEP CENTER, LLC DBA WASILLA SLEEP CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANCHORAGE SLEEP CENTER, LLC",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "907-887-9520"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "AK",
            "license": "960257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Disorder Diagnostic Clinic/Center in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Sleep Disorder Diagnostic Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.