Individual provider Active NPI

John Mitchell Troutman, DVM

  • Veterinarian
  • Minneapolis, MN
National Provider Identifier
1174805386
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
00611 Issued in MN
Practice address
8945 Evergreen Blvd NW
Minneapolis, MN 55433-6043
Phone
(763) 951-8090
Fax
(763) 951-8091
NPI assigned
Sep 13, 2011
Last updated
Sep 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 00611 MN Primary
Medical Research Veterinarian 174MM1900X 00611 MN

Addresses

Primary practice location

8945 Evergreen Blvd NW
Minneapolis, MN 55433-6043

Mailing address

8945 Evergreen Blvd NW
Minneapolis, MN 55433-6043
Phone (763) 951-8090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00611MNMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1174805386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 EVERGREEN BLVD NW",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554336043",
            "telephone_number": "763-951-8090",
            "fax_number": "763-951-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 EVERGREEN BLVD NW",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554336043",
            "telephone_number": "763-951-8090",
            "fax_number": "763-951-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUTMAN",
        "first_name": "JOHN",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "MN",
            "license": "00611",
            "primary": true
        },
        {
            "code": "174MM1900X",
            "taxonomy_group": "",
            "desc": "Veterinarian, Medical Research",
            "state": "MN",
            "license": "00611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.