Organization Active NPI

Midwest Sleep Center, PC

  • Customized Equipment (DME)
  • Aurora, IL
National Provider Identifier
1942945225
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MIDWEST SLEEP CENTER, PC
Practice address
201 N Constitution Dr Ste 108
Aurora, IL 60506-3200
Phone
(630) 730-0235
NPI assigned
May 2, 2022
Last updated
Sep 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Dustin Goetz, D.D.S.NPI 1760890453
Title
Owner
Phone
(847) 254-3819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

201 N Constitution Dr Ste 108
Aurora, IL 60506-3200

Mailing address

201 N Constitution Dr
Aurora, IL 60506-3214
Phone (630) 730-0235

National Provider Directory

National Provider Directory

Locations

201 N Constitution Dr
Aurora, IL 60506
Phone (630) 844-2640

201 N Constitution Dr
Ste 108
Aurora, IL 60506
Phone (630) 730-0235

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGDEAA

Practitioners & affiliated clinicians

Practitioners 1

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": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1942945225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N CONSTITUTION DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063214",
            "telephone_number": "630-730-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CONSTITUTION DR STE 108",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063200",
            "telephone_number": "630-730-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SLEEP CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "GOETZ",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-254-3819",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.