Doctor profile · Federal record
Dr. Travis Prunty, DDS
Dentist · Mankato, MN
- NPI 1275685190
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
730 Madison Ave
Mankato, MN 560016100
(507) 388-3023
fax (507) 388-3353
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- January 18, 2017
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Minnesota #12552
- Medicaid
- MN #12552
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1275685190. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 1 | $19.27 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
19
Patients
19
Total drug cost
$77
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 19 | 19 | $77 |
Frequently asked questions
What is Dr. Travis Prunty's medical specialty?
Dr. Travis Prunty practices Dentist in Mankato, MN.
Where does Dr. Travis Prunty practice?
Dr. Travis Prunty practices at 730 Madison Ave, Mankato, MN 560016100. Office phone: 5073883023.
What is Dr. Travis Prunty's NPI?
Dr. Travis Prunty's National Provider Identifier (NPI) is 1275685190, issued by NPPES.