Organization Active NPI

Serenity Sleep Solutions of Keokuk, LLC

  • Customized Equipment (DME)
  • Keokuk, IA
National Provider Identifier
1114426368
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
SERENITY SLEEP SOLUTIONS OF KEOKUK, LLC
Practice address
3327 Main St
Keokuk, IA 52632-2225
Phone
(217) 257-0386
NPI assigned
Feb 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Dr. Kent J Sturhahn, DMD
Title
Dentist
Phone
(217) 257-0386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

3327 Main St
Keokuk, IA 52632-2225

Mailing address

3327 Main St
Keokuk, IA 52632-2209
Phone (217) 257-0386

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180623000181 IA DME Supplier - Oral Surgery - Dentist 1850646373 Practice locations: Keokuk, IA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1114426368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 MAIN ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526322209",
            "telephone_number": "217-257-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 MAIN ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526322225",
            "telephone_number": "217-257-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SLEEP SOLUTIONS OF KEOKUK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "STURHAHN",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "217-257-0386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keokuk, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.