Active NPI
Prairie Sleep Center LLC
- Customized Equipment (DME)
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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 DDS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tanya L Desanto
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285778522 | Other | IL | DENTIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191104003083 | IL | DME Supplier - Oral Surgery - Dentist | 9234461682 | Practice locations: Springfield, IL |
National Provider Directory
National Provider Directory- Tax ID family
- Prairie Sleep Center LLC
- 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.
-
- Customized Equipment (DME)
- Springfield, IL
- NPI 1316598311
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.
-
- Dentist
- Springfield, IL
- NPI 1801517743
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Springfield, IL
- NPI 1285778522
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.