Organization Active NPI

Quad City Sleep Company PC

  • Durable Medical Equipment & Medical Supplies
  • Davenport, IA
National Provider Identifier
1225739253
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Mar 16, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20230602000326 IA DME Supplier - Oral Surgery - Dentist 8527425701 Practice locations: Davenport, IA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.