NPIMap

Organization Active NPI

Elan Sleep LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Longmont, CO
National Provider Identifier
1982958435
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
Legal business name
ELAN SLEEP LLC
Practice address
1630 Dry Creek Drive
Suite 200
Longmont, CO 80503-6405
Phone
(720) 279-9098
Fax
(303) 248-3589
NPI assigned
Nov 6, 2012
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Adam T Wertz
Title
President
Phone
(720) 938-6918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084S0012X Primary

Addresses

Primary practice location

1630 Dry Creek Drive
Suite 200
Longmont, CO 80503-6405

Mailing address

1630 Dry Creek Drive
Suite 200
Longmont, CO 80503-6405
Phone (720) 279-9098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250130002677 CO Part B Supplier - Clinic/Group Practice 8426587742 Receives reassigned benefits from 21 practitioners
Practice locations: Longmont, CO

National Provider Directory

National Provider Directory

Locations

1000 Alpine Ave
Ste 105
Boulder, CO 80304

4895 Riverbend Rd
Ste A
Boulder, CO 80301

13654 Xavier Ln
Ste 201B
Broomfield, CO 80023

13654 Xavier Ln
Ste 210
Broomfield, CO 80023

13654 Xavier Ln
Ste 210B
Broomfield, CO 80023

1630 Dry Creek Dr
Longmont, CO 80503

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1982958435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 DRY CREEK DRIVE",
            "address_2": "SUITE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036405",
            "telephone_number": "720-279-9098",
            "fax_number": "303-248-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 DRY CREEK DRIVE",
            "address_2": "SUITE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036405",
            "telephone_number": "720-279-9098",
            "fax_number": "303-248-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAN SLEEP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "WERTZ",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-938-6918"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.