Sleep Apnea Care and Wellness, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SLEEP APNEA CARE AND WELLNESS, LLC

Doing business as

Koala Center for Sleep Disorders WI-4

Practice address

2020 County Road HH
Plover, WI 54467-2653

Phone

(715) 341-5001

Fax

(715) 341-8983

NPI assigned

Mar 31, 2017

Last updated

Jan 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David P Barr, DDS

Title

Owner/Dentist

Phone

(715) 341-5001

Specialties & licenses 2

Addresses

Other names 1

• Koala Center for Sleep Disorders WI-4 Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Sleep Apnea Care and Wellness LLC

  dba Koala Center for Sleep Disorders

  • Customized Equipment (DME)
  • Wausau, WI
  • NPI 1114342847

  O20140721001049

  Same enrollment

Locations

Practitioners 5

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.

• Brenda B. Mittelsteadt, BSN. FNP

  • Nurse Practitioner
  • Schofield, WI
  • NPI 1003818857
  NPD
• Jackie Marie Rietz, APNP, FNP-C

  • Nurse Practitioner
  • Wausau, WI
  • NPI 1326691254
  NPD
• Brian Sorensen

  • General Practice Dentistry
  • Mosinee, WI
  • NPI 1194212639
  NPD
• Rodney Earl Willey, DDS

  • Dentist
  • Dunlap, IL
  • NPI 1144409806
  NPD
• Christopher Thomas Deroche, DPM

  • Foot & Ankle Surgery Podiatrist
  • Plover, WI
  • NPI 1790763779
  NPD (past)

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1689106387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 STATE ROUTE 40",
            "address_2": "SUITE 100",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615258842",
            "telephone_number": "309-839-9941",
            "fax_number": "309-807-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COUNTY ROAD HH",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544672653",
            "telephone_number": "715-341-5001",
            "fax_number": "715-341-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP APNEA CARE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "715-341-5001",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "3272-15",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koala Center for Sleep Disorders WI-4",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Koala Center for Sleep Disorders WI-4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emily Jakusz Stevenson, DC
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• Durable Medical Equipment & Medical Supplies in Plover, WI
• Providers in Plover, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.