Active NPI
DSM Sleep Specialists
- Sleep Medicine (Internal Medicine) Physician
- Clive, IA
National Provider Identifier
1235610957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- Legal business name
- DSM SLEEP SPECIALISTS
- Practice address
- 1275 NW 128TH St Ste 200
Clive, IA 50325-7403 - Phone
- (515) 224-3948
- Fax
- (515) 224-0469
- NPI assigned
- Aug 22, 2018
- Last updated
- Mar 14, 2019
- 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
- Thomas Konopka
- Title
- Officer
- Phone
- (515) 224-3948
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | NU | Primary |
Addresses
Primary practice location
1275 NW 128TH St Ste 200
Clive, IA 50325-7403
Mailing address
1275 NW 128TH St Ste 200
Clive, IA 50325-7403
Phone (734) 502-6716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181121000820 | IA | Part B Supplier - Clinic/Group Practice | 8022362466 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment Practice locations: Clive, IA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Sleep Medicine (Internal Medicine) Physician
- Clive, IA
- NPI 1043782154
O20181121000820
National Provider Directory
National Provider DirectoryInteroperability endpoints
- areebahanwar@dsmssplc.allscriptsdirect.net
- kerrycanady@dsmssplc.allscriptsdirect.net
- melisacoaker@dsmssplc.allscriptsdirect.net
- nguyen-lyhuynh@dsmssplc.allscriptsdirect.net
- wendyfluegel@dsmssplc.allscriptsdirect.net
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Clive, IA
- NPI 1164623393
-
- Medical Physician Assistant
- Clive, IA
- NPI 1558530832
-
- Physician Assistant
- Grimes, IA
- NPI 1861736340
-
- Physician Assistant
- Clive, IA
- NPI 1104587245
-
- Pulmonary Disease Physician
- Clive, IA
- NPI 1225207749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552521600000",
"number": "1235610957",
"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",
"telephone_number": "734-502-6716"
},
{
"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": "515-224-3948",
"fax_number": "515-224-0469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DSM SLEEP SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-22",
"last_updated": "2019-03-14",
"status": "A",
"authorized_official_last_name": "KONOPKA",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "515-224-3948"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.