Theodore Alexander Murray Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

27661 Issued in CA

Practice address

1534 Fifth Avenue
San Rafael, CA 94901-1818

Phone

(415) 453-7162

Fax

(415) 453-7869

NPI assigned

Aug 25, 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 names 1

• Dr. Ted A Murray Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104934702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 FIFTH AVENUE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011818",
            "telephone_number": "415-453-7162",
            "fax_number": "415-453-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 FIFTH AVENUE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011818",
            "telephone_number": "415-453-7162",
            "fax_number": "415-453-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "THEODORE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "27661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TED",
            "last_name": "MURRAY",
            "middle_name": "A",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa Olsen Murphy, PH.D.
• Jennica Murray-Elizondo, MFT
• Catherine Anne Murray, M DIV.
• Robert Steven Murray, LMFT
• Suzanne Murray, PPS
• Prasad Achuta Murthy, MD
• Cindy Lee Myers, MFT
• David Myers
• Jennifer Myers, PSYD
• Robert L. Myers, MD

• Dentist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.