Organization Active NPI

Hibernation Sleep MN LLC

  • Customized Equipment (DME)
  • Saint Paul, MN
National Provider Identifier
1417447210
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
D13398 Issued in MN
Legal business name
HIBERNATION SLEEP MN LLC
Practice address
2233 Energy Park Dr Ste 400
Saint Paul, MN 55108-1533
Phone
(651) 888-4680
Fax
(651) 358-2971
NPI assigned
May 16, 2018
Last updated
Aug 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Dr. Nathaniel Cogswell, DDSNPI 1225415896
Title
Owner
Phone
(651) 888-4680

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
Customized Equipment (DME) 332BC3200X D13398 MN Primary
General Practice Dentistry 1223G0001X NU

Addresses

Primary practice location

2233 Energy Park Dr Ste 400
Saint Paul, MN 55108-1533

Mailing address

2233 Energy Park Dr Ste 400
Saint Paul, MN 55108-1533
Phone (651) 888-4680

Other practice location 1

2278 Como Ave
Saint Paul, MN 55108-1740
Phone (651) 888-4680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181203002070 MN DME Supplier - Oral Surgery - Dentist 0143564187 Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

2233 Energy Park Dr
Ste 400
Saint Paul, MN 55108
Phone (651) 888-4680

Practitioners & affiliated clinicians

Practitioners 2

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": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1417447210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 ENERGY PARK DR STE 400",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081533",
            "telephone_number": "651-888-4680",
            "fax_number": "651-358-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 ENERGY PARK DR STE 400",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081533",
            "telephone_number": "651-888-4680",
            "fax_number": "651-358-2971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2278 Como Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551081740",
            "country_code": "US",
            "telephone_number": "651-888-4680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HIBERNATION SLEEP MN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "COGSWELL",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-888-4680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MN",
            "license": "D13398",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.