Organization Active NPI

Martyn Canine Behavior

  • Durable Medical Equipment & Medical Supplies
  • Missoula, MT
National Provider Identifier
1124483326
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MARTYN CANINE BEHAVIOR
Practice address
3735 Big Flat Rd
Missoula, MT 59804-9418
Phone
(650) 898-9117
NPI assigned
Dec 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Mr. Donald Glenn Martyn Jr.
Title
Owner
Phone
(650) 898-9117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3735 Big Flat Rd
Missoula, MT 59804-9418

Mailing address

PO Box 268
El Verano, CA 95433-0268
Phone (650) 898-9117

National Provider Directory

National Provider Directory
Tax ID family
Martyn Canine Behavior2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3735 Big Flat Rd
Missoula, MT 59804
Phone (650) 898-9117

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1124483326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "EL VERANO",
            "state": "CA",
            "postal_code": "954330268",
            "telephone_number": "650-898-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 BIG FLAT RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598049418",
            "telephone_number": "650-898-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTYN CANINE BEHAVIOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "MARTYN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-898-9117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.