Organization Active NPI

Serenity Therapeutic Equine Program

  • Specialist
  • Minot, ND
National Provider Identifier
1245629500
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SERENITY THERAPEUTIC EQUINE PROGRAM
Practice address
7580 16TH St SW
Minot, ND 58701-9776
Phone
(701) 833-7911
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Connie Irey
Title
Secretary
Phone
(701) 720-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7580 16TH St SW
Minot, ND 58701-9776

Mailing address

7580 16TH St SW
Minot, ND 58701-9776
Phone (701) 833-7911

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1245629500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 16TH ST SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587019776",
            "telephone_number": "701-833-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 16TH ST SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587019776",
            "telephone_number": "701-833-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY THERAPEUTIC EQUINE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "IREY",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "701-720-1919"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.