Organization Active NPI

Sleep & Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Pella, IA
National Provider Identifier
1760689004
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
21379 Issued in IA
Legal business name
SLEEP & MEDICAL SUPPLY INC
Doing business as
Sleep & Medical Supply Inc
Practice address
1106 Washington St
Pella, IA 50219
Phone
(641) 613-3283
Fax
(641) 621-1601
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael McCubbin, MD
Title
President
Phone
(641) 613-3283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 21379 IA Primary

Addresses

Primary practice location

1106 Washington St
Pella, IA 50219

Mailing address

1106 Washington Street
Pella, IA 50219
Phone (641) 613-3283

Other names 1

  • Sleep & Medical Supply Inc Doing business as

National Provider Directory

National Provider Directory

Locations

1106 Washington St
Pella, IA 50219
Phone (641) 613-3283

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760689004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WASHINGTON STREET",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "50219",
            "telephone_number": "641-613-3283",
            "fax_number": "641-621-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 WASHINGTON ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "50219",
            "telephone_number": "641-613-3283",
            "fax_number": "641-621-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP & MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCUBBIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-613-3283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "21379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep & Medical Supply Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pella, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.