Organization Active NPI

Sweet Dreams Anesthesia PLLC

  • Ambulatory Surgical Clinic/Center
  • Grand Forks, ND
National Provider Identifier
1770710659
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
R27377 Issued in ND
Legal business name
SWEET DREAMS ANESTHESIA PLLC
Practice address
1451 44TH Ave S
Grand Forks, ND 58201-3434
Phone
(701) 732-2222
NPI assigned
Jun 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Heidi Stahl, CRNA
Title
Owner
Phone
(701) 741-0545

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X R27377 ND Primary
Critical Access Hospital 282NC0060X R1577341 MN
Rural Acute Care Hospital 282NR1301X R1577341 MN
Psychiatric Hospital 283Q00000X R27377 ND

Addresses

Primary practice location

1451 44TH Ave S
Grand Forks, ND 58201-3434

Mailing address

6615 Lake Dr
Grand Forks, ND 58201-8321
Phone (701) 746-7441

Other identifiers 2

IdentifierTypeStateIssuer
10775MedicaidND
07392001OtherNDBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1770710659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 LAKE DR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582018321",
            "telephone_number": "701-746-7441",
            "fax_number": "701-746-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 44TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013434",
            "telephone_number": "701-732-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET DREAMS ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-741-0545",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "ND",
            "license": "R27377",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MN",
            "license": "R1577341",
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "MN",
            "license": "R1577341",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "ND",
            "license": "R27377",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10775",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07392001",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.