Organization Active NPI

Woodbury Sleep Solutions PA

  • Customized Equipment (DME)
  • Woodbury, MN
National Provider Identifier
1912498148
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
WOODBURY SLEEP SOLUTIONS PA
Practice address
2070 Eagle Creek LN Ste 300
Woodbury, MN 55129-3218
Phone
(651) 439-7559
Fax
(651) 436-7553
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Marko Kamel
Title
Owner
Phone
(651) 436-7559

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D12206 MN
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2070 Eagle Creek LN Ste 300
Woodbury, MN 55129-3218

Mailing address

2070 Eagle Creek LN Ste 300
Woodbury, MN 55129-3218
Phone (651) 439-7559

National Provider Directory

National Provider Directory

Locations

2070 Eagle Creek Ln
Ste 300
Woodbury, MN 55129
Phone (651) 439-7559

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1912498148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 EAGLE CREEK LN STE 300",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551293218",
            "telephone_number": "651-439-7559",
            "fax_number": "651-436-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 EAGLE CREEK LN STE 300",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551293218",
            "telephone_number": "651-439-7559",
            "fax_number": "651-436-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY SLEEP SOLUTIONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "KAMEL",
        "authorized_official_first_name": "MARKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-436-7559"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12206",
            "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 Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.