Individual provider Active NPI

Jennifer Trachte Murphy, DC, DICCP

  • Chiropractor
  • Pink Hill, NC
National Provider Identifier
1013965938
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2356 Issued in NC
Practice address
312 W Broadway St
Pink Hill, NC 28572-7986
Phone
(252) 568-6400
Fax
(252) 568-6461
NPI assigned
May 4, 2006
Last updated
Aug 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2356 NC Primary

Addresses

Primary practice location

312 W Broadway St
Pink Hill, NC 28572-7986

Mailing address

312 W Broadway St
Pink Hill, NC 28572-7986
Phone (252) 568-6400

Other identifiers 2

IdentifierTypeStateIssuer
890884MMedicaidNC
0884MOtherNCBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080206000218 NC Practitioner - Chiropractic 1052494606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Pacific Medical College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

312 W Broadway St
Pink Hill, NC 28572-7986
Phone (252) 568-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pink Hill Chiropractic, PA Chiropractor CurrentSince Aug 19, 1996 Accepting new patients

Locations

312 W Broadway St
Pink Hill, NC 28572
Phone (252) 568-6400

Organizations & group practices 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1013965938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W BROADWAY ST",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "285727986",
            "telephone_number": "252-568-6400",
            "fax_number": "252-568-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W BROADWAY ST",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "285727986",
            "telephone_number": "252-568-6400",
            "fax_number": "252-568-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "JENNIFER",
        "middle_name": "TRACHTE",
        "name_prefix": "Dr.",
        "credential": "DC, DICCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890884M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0884M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pink Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.