Active NPI
Serenity Therapeutic Equine Program
- Specialist
- Minot, ND
National Provider Identifier
1245629500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryNPI 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.