Individual provider Active NPI

Ryan Raphael Murray, D.D.S

  • General Practice Dentistry
  • Louisville, CO
National Provider Identifier
1144477654
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10288 Issued in CO
Practice address
400 S McCaslin Blvd Ste 207
Louisville, CO 80027-9701
Phone
(303) 666-4900
Fax
(303) 666-4900
NPI assigned
Aug 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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 10288 CO Primary

Addresses

Primary practice location

400 S McCaslin Blvd Ste 207
Louisville, CO 80027-9701

Mailing address

133 McCaslin Blvd
Unit B
Louisville, CO 80027-9412
Phone (303) 666-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20170615001991 CO Order and Referring Only - DentistPractitioner - Dentist 4981972981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10288COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Murray Family Dentistry Past Accepting new patients

Organizations & group practices 1

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1144477654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MCCASLIN BLVD",
            "address_2": "UNIT B",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279412",
            "telephone_number": "303-666-4900",
            "fax_number": "303-666-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MCCASLIN BLVD STE 207",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279701",
            "telephone_number": "303-666-4900",
            "fax_number": "303-666-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "RYAN",
        "middle_name": "RAPHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.