Active NPI
Quad City Sleep Company PC
- Durable Medical Equipment & Medical Supplies
- Davenport, IA
National Provider Identifier
1225739253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- QUAD CITY SLEEP COMPANY PC
- Practice address
- 1544 W Kimberly Rd
Davenport, IA 52806-5529 - Phone
- (563) 386-6910
- Fax
- (563) 386-6967
- NPI assigned
- Mar 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marianna Beattie, DDS
- Title
- Owner, Dentist
- Phone
- (563) 386-6910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1544 W Kimberly Rd
Davenport, IA 52806-5529
Mailing address
1544 W Kimberly Rd
Davenport, IA 52806-5529
Phone (563) 386-6910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230602000326 | IA | DME Supplier - Oral Surgery - Dentist | 8527425701 | Practice locations: Davenport, IA |
National Provider Directory
National Provider DirectoryLocations
1544 W Kimberly Rd
Davenport, IA 52806
Phone (563) 386-6910
Practitioners & affiliated clinicians
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.
-
- Dentist
- Davenport, IA
- NPI 1700937620
-
- Dentist
- Davenport, IA
- NPI 1346081916
-
- Dentist
- De Witt, IA
- NPI 1881266542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678924800000",
"number": "1225739253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1544 W KIMBERLY RD",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528065529",
"telephone_number": "563-386-6910",
"fax_number": "563-386-6967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 W KIMBERLY RD",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528065529",
"telephone_number": "563-386-6910",
"fax_number": "563-386-6967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUAD CITY SLEEP COMPANY PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-16",
"certification_date": "2023-03-15",
"status": "A",
"authorized_official_last_name": "BEATTIE",
"authorized_official_first_name": "MARIANNA",
"authorized_official_title_or_position": "OWNER, DENTIST",
"authorized_official_telephone_number": "563-386-6910",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.