Organization Active NPI

Prairie Sleep Center LLC

  • Customized Equipment (DME)
  • Springfield, IL
National Provider Identifier
1972153070
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
PRAIRIE SLEEP CENTER LLC
Practice address
2900 Greenbriar Dr
Springfield, IL 62704-6418
Phone
(217) 546-0412
Fax
(217) 546-0919
NPI assigned
Sep 19, 2019
Organization subpart
Yes
Parent organization
TANYA L DESANTO DDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. Tanya L DesantoNPI 1285778522
Title
Dentist/Owner
Phone
(217) 546-0412

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2900 Greenbriar Dr
Springfield, IL 62704-6418

Mailing address

2900 Greenbriar Dr
Springfield, IL 62704-6418
Phone (217) 546-0412

Other identifiers 1

IdentifierTypeStateIssuer
1285778522OtherILDENTIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191104003083 IL DME Supplier - Oral Surgery - Dentist 9234461682 Practice locations: Springfield, IL

National Provider Directory

National Provider Directory
Tax ID family
Prairie Sleep Center LLC2 organizations share this tax ID, including this one
Part of
Tanya L Desanto DDS

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2900 Greenbriar Dr
Springfield, IL 62704
Phone (217) 546-0412

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1972153070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 GREENBRIAR DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046418",
            "telephone_number": "217-546-0412",
            "fax_number": "217-546-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 GREENBRIAR DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046418",
            "telephone_number": "217-546-0412",
            "fax_number": "217-546-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE SLEEP CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TANYA L DESANTO DDS",
        "enumeration_date": "2019-09-19",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "DESANTO",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "217-546-0412",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1285778522",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.