Individual provider Active NPI

Marisa Ann Murphy

  • Dentist
  • Saint Paul, MN
National Provider Identifier
1053120964
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D15554 Issued in MN
Practice address
400 Selby Ave Ste a
Saint Paul, MN 55102-4520
Phone
(651) 789-1144
NPI assigned
Jan 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D15554 MN Primary

Addresses

Primary practice location

400 Selby Ave Ste a
Saint Paul, MN 55102-4520

Mailing address

825 15TH Ave N
Sartell, MN 56377-1999
Phone (320) 309-3729

Other practice location 1

33 10th Ave S Ste 250
Hopkins, MN 55343-1312
Phone (952) 935-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1053120964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 15TH AVE N",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771999",
            "telephone_number": "320-309-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SELBY AVE STE A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024520",
            "telephone_number": "651-789-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 10th Ave S Ste 250",
            "address_purpose": "LOCATION",
            "city": "Hopkins",
            "state": "MN",
            "postal_code": "553431312",
            "country_code": "US",
            "telephone_number": "952-935-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "MARISA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D15554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.