Advance Sleep Disorders Center, Inc.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

730098 Issued in KY

Legal business name

ADVANCE SLEEP DISORDERS CENTER, INC.

Practice address

6420 Dutchmans Parkway
Suite 190
Louisville, KY 40205

Phone

(502) 895-0301

Fax

(502) 895-0309

NPI assigned

Aug 4, 2006

Last updated

Aug 31, 2012By 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

Mr. Robert Keesaer

Title

General Manager

Phone

(502) 895-0301

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1992713978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PARKWAY",
            "address_2": "SUITE 190",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40205",
            "telephone_number": "502-895-0301",
            "fax_number": "502-895-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PARKWAY",
            "address_2": "SUITE 190",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40205",
            "telephone_number": "502-895-0301",
            "fax_number": "502-895-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE SLEEP DISORDERS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "KEESAER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "502-895-0301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "KY",
            "license": "730098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.