Provider Demographics
NPI:1326498940
Name:BREATHEAMERICA SLEEP SUPPLIES, LLC
Entity Type:Organization
Organization Name:BREATHEAMERICA SLEEP SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF SLEEP MEDICINE
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:DINGESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-665-7127
Mailing Address - Street 1:2555 MERIDIAN BLVD
Mailing Address - Street 2:STE 320
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6363
Mailing Address - Country:US
Mailing Address - Phone:615-665-7127
Mailing Address - Fax:615-665-8776
Practice Address - Street 1:4501 N MESA ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-6101
Practice Address - Country:US
Practice Address - Phone:615-665-7127
Practice Address - Fax:615-665-8776
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BREATHEAMERICA HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001482332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ71RXHAV0OtherHEALTHCARE QUALITY ASSOCIATION ON ACCREDITATION