Active NPI
Marisa Ann Murphy
- Dentist
- Saint Paul, MN
National Provider Identifier
1053120964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D15554
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.