Russell A Murphy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010061A Issued in IN

Practice address

1329 N Ironwood Drive
South Bend, IN 46615-3566

Phone

(574) 271-7500

Fax

(574) 271-6052

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1013080019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 N IRONWOOD DRIVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153566",
            "telephone_number": "574-271-7500",
            "fax_number": "574-271-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 N IRONWOOD DRIVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153566",
            "telephone_number": "574-271-7500",
            "fax_number": "574-271-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "RUSSELL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010061A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200205420B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelisha Muhammad, RBT
• Garrett Muhlstadt, DO
• Gertrude Mumba-Kaunda
• Frank V. Murphy, M.D.
• Mary Meghan Murphy
• Taylor Leigh Murphy, RN
• Christa Lee Murray, RBT
• Murrays Compassionate Care and Services LLC
• Danielle J Muse, RN
• Ngina Muthusi

• General Practice Dentistry in South Bend, IN
• Providers in South Bend, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.