Individual provider Active NPI

Daniel L. Murray Jr., D.C.

  • Chiropractor
  • Great Bend, KS
National Provider Identifier
1003131855
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05318 Issued in KS
Practice address
2100 Kansas Ave
Great Bend, KS 67530-2516
Phone
(620) 792-1386
Fax
(620) 792-8634
NPI assigned
Apr 5, 2010
Last updated
Oct 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05318 KS Primary

Addresses

Primary practice location

2100 Kansas Ave
Great Bend, KS 67530-2516

Mailing address

2100 Kansas Ave
Great Bend, KS 67530-2516
Phone (620) 792-1386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824000080 KS Practitioner - Chiropractic 9739203043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murray Chiropractic Center, LLCGroup PAC ID 2567586860, 2 clinicians

Practice addresses (Care Compare)

2100 Kansas Ave
Great Bend, KS 67530-2516
Phone (620) 792-1386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05318KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Greene Chiropractic Back Chiropractor PastSince Apr 13, 2010 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1003131855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 KANSAS AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302516",
            "telephone_number": "620-792-1386",
            "fax_number": "620-792-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 KANSAS AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675302516",
            "telephone_number": "620-792-1386",
            "fax_number": "620-792-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "DANIEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.