Organization Active NPI

Pruyn Veterinary Hospital, LLC

  • Veterinarian
  • Missoula, MT
National Provider Identifier
1558708263
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
787 Issued in MT
Legal business name
PRUYN VETERINARY HOSPITAL, LLC
Practice address
2501 S Russell St
Missoula, MT 59801-7917
Phone
(406) 829-8150
Fax
(406) 728-7966
NPI assigned
Jun 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Dr. Minott Pruyn, DVM
Title
Owner
Phone
(406) 829-8150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VeterinarianGroup: 193400000X SINGLE SPECIALTY GROUP 174M00000X 787 MT Primary

Addresses

Primary practice location

2501 S Russell St
Missoula, MT 59801-7917

Mailing address

2501 S Russell St
Missoula, MT 59801-7917
Phone (406) 829-8150

National Provider Directory

National Provider Directory

Locations

2501 S Russell St
Missoula, MT 59801
Phone (406) 829-8150

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1558708263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 S RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017917",
            "telephone_number": "406-829-8150",
            "fax_number": "406-728-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017917",
            "telephone_number": "406-829-8150",
            "fax_number": "406-728-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUYN VETERINARY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "PRUYN",
        "authorized_official_first_name": "MINOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-829-8150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DVM"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Veterinarian",
            "state": "MT",
            "license": "787",
            "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 Jun 4, 2013; 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.