Healthcare Provider Details

I. General information

NPI: 1548971799
Provider Name (Legal Business Name): SIOUXLAND SLEEP SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2022
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 PIERCE ST STE 204
SIOUX CITY IA
51104-3764
US

IV. Provider business mailing address

2730 PIERCE ST STE 204
SIOUX CITY IA
51104-3764
US

V. Phone/Fax

Practice location:
  • Phone: 712-899-9704
  • Fax:
Mailing address:
  • Phone: 712-546-5183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1223X2210X
TaxonomyOrofacial Pain Dentistry
License Number
License Number State

VIII. Authorized Official

Name: TAMMY SUE RHEA-BOHNENKAMP
Title or Position: PRESIDENT & AUTHORIZED OFFICIAL
Credential:
Phone: 712-899-9704