DSM Sleep Specialists

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

DSM SLEEP SPECIALISTS

Practice address

1275 NW 128TH St Ste 200
Clive, IA 50325-7403

Phone

(734) 502-6716

NPI assigned

Dec 31, 2018

Organization subpart

No

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

Authorized official

Name

Thomas Konopka

Title

Owner

Phone

(734) 502-6716

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• DSM Sleep Specialists

  • Sleep Medicine (Internal Medicine) Physician
  • Clive, IA
  • NPI 1235610957

  O20181121000820

  Same enrollment

Practitioners 3

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.

• Kerry J Canady, DO

  • Pulmonary Disease Physician
  • Clive, IA
  • NPI 1225207749
  NPD
• Melisa Coaker, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Clive, IA
  • NPI 1164623393
  NPD
• Wendy L Fluegel, MD

  • Pulmonary Disease Physician
  • Urbandale, IA
  • NPI 1083691596

  Sleep Medicine

  NPD

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1043782154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 NW 128TH ST STE 200",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 NW 128TH ST STE 200",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257403",
            "telephone_number": "734-502-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSM SLEEP SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "KONOPKA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-502-6716"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gryphan Anthony Alexander Douglas, MSW, LISW
• Molly Kinser Douglas, LMHC
• Dragonfly Counseling Associates, PLLC
• Chelsea Dreyer, M.ED, BCBA, LBA
• Logan David Driscoll
• DSM Sleep Specialists
• Ducharme Dermatology, P.C.
• Erin Ducharme, MD
• Kathleen M Duffy, P.A.-C
• Elisabeth Dykshorn, LMSW

• Sleep Medicine (Internal Medicine) Physician in Clive, IA
• Providers in Clive, IA by specialty
• Sleep Medicine (Internal Medicine) Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.