Individual provider Active NPI

Justin Michael Murray, DC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1104222157
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10218 Issued in FL
Practice address
3408 S Manhattan Ave Ste 1
Tampa, FL 33629-8400
Phone
(813) 832-3164
Fax
(813) 762-1788
NPI assigned
Nov 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10218 FL Primary

Addresses

Primary practice location

3408 S Manhattan Ave Ste 1
Tampa, FL 33629-8400

Mailing address

3408 S Manhattan Ave Ste 1
Tampa, FL 33629-8400
Phone (813) 832-3164

Other practice location 1

12233 N Florida Ave
Ste 200
Tampa, FL 33612-4270
Phone (941) 552-1189

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10218FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1104222157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 S MANHATTAN AVE STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298400",
            "telephone_number": "813-832-3164",
            "fax_number": "813-762-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 S MANHATTAN AVE STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298400",
            "telephone_number": "813-832-3164",
            "fax_number": "813-762-1788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12233 N Florida Ave",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336124270",
            "country_code": "US",
            "telephone_number": "941-552-1189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-18",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.