Organization Active NPI

Prana Family Practice

  • Primary Care Clinic/Center
  • Missoula, MT
National Provider Identifier
1598069429
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
37 Issued in MT
Legal business name
PRANA FAMILY PRACTICE
Practice address
825 W Kent Ave
Missoula, MT 59801-6619
Phone
(406) 240-0604
Fax
(406) 721-0055
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Ms. Mindy Opper, PA-C
Title
Physician Assistant
Phone
(406) 240-0604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 37 MT Primary

Addresses

Primary practice location

825 W Kent Ave
Missoula, MT 59801-6619

Mailing address

825 W Kent Ave
Missoula, MT 59801-6619
Phone (406) 240-0604

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1598069429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W KENT AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016619",
            "telephone_number": "406-240-0604",
            "fax_number": "406-721-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W KENT AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016619",
            "telephone_number": "406-240-0604",
            "fax_number": "406-721-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "OPPER",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "406-240-0604",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MT",
            "license": "37",
            "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 Jan 6, 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.