Individual provider Active NPI

Joshua Scott Murdock, DDS

  • General Practice Dentistry
  • Grants Pass, OR
National Provider Identifier
1134565799
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10769 Issued in OR
Practice address
1873 Williams Hwy Ste 1a
Grants Pass, OR 97527-5843
Phone
(541) 479-5505
NPI assigned
May 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D10769 OR Primary

Addresses

Primary practice location

1873 Williams Hwy Ste 1a
Grants Pass, OR 97527-5843

Mailing address

1710 E Pine St Ste a
Central Point, OR 97502-2811

Other practice location 1

511 E Main St
Rogue River, OR 97537-9674
Phone (541) 582-1107

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
D10769ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Dental Group PC General Practice CurrentSince May 22, 2022 Accepting new patients
Rogue Valley Family Dentistry LLC General Practice PastSince May 22, 2022 Accepting new patients

Locations

1710 E Pine St
Ste A
Central Point, OR 97502
Phone (541) 665-1112

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1134565799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E PINE ST STE A",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 WILLIAMS HWY STE 1A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275843",
            "telephone_number": "541-479-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 E Main St",
            "address_purpose": "LOCATION",
            "city": "Rogue River",
            "state": "OR",
            "postal_code": "975379674",
            "country_code": "US",
            "telephone_number": "541-582-1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "JOSHUA",
        "middle_name": "SCOTT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.