Glen Arthur McMurray, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

16773 Issued in OH

Practice address

126 Hill Street
Bucyrus, OH 44820

Phone

(419) 562-0203

Fax

(419) 562-4467

NPI assigned

Oct 29, 2007

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

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Glen a McMurray DDS Autumn R Sackett DDS Inc

  • Dentist
  • Bucyrus, OH
  • NPI 1225199839
  NPD (past) Authorized official

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1114106929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HILL STREET",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "44820",
            "telephone_number": "419-562-0203",
            "fax_number": "419-562-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HILL STREET",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "44820",
            "telephone_number": "419-562-0203",
            "fax_number": "419-562-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURRAY",
        "first_name": "GLEN",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "16773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Nicole McGinty, L.S.W.
• Stephen P McLaughlin, LPCC
• Dustin C McMillen
• Renee Juanita McMillen, RSWA
• Karlynn McMillin
• Jason D Mease
• Teresa Kay Mease
• Medcentral Health System
• Medcentral Health System
• Medicine Shoppe 1088 LLC

• Dentist in Bucyrus, OH
• Providers in Bucyrus, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.