Organization Active NPI

Pieper Memorial Veterinary Center

  • Specialist
  • Middletown, CT
National Provider Identifier
1316481732
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3608 Issued in CT
Legal business name
PIEPER MEMORIAL VETERINARY CENTER
Practice address
730 Randolph Rd
Middletown, CT 06457-5331
Phone
(860) 347-8387
NPI assigned
Dec 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Dr. Carolyn Gross, DVM, DACVIM
Title
Veterinarian
Phone
(860) 347-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 3608 CT Primary

Addresses

Primary practice location

730 Randolph Rd
Middletown, CT 06457-5331

Mailing address

730 Randolph Rd
Middletown, CT 06457-5331

Other identifiers 1

IdentifierTypeStateIssuer
3608OtherCTVETERINARIAN

National Provider Directory

National Provider Directory

Locations

730 Randolph Rd
Middletown, CT 06457
Phone (860) 347-8387

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1316481732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 RANDOLPH RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 RANDOLPH RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575331",
            "telephone_number": "860-347-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEPER MEMORIAL VETERINARY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "VETERINARIAN",
        "authorized_official_telephone_number": "860-347-8387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DVM, DACVIM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "3608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERINARIAN",
            "identifier": "3608",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.