Individual provider Active NPI

Kathryn Murphy, DDS

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1184145104
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00203273 Issued in CO
Practice address
6459 Omaha Blvd
Colorado Springs, CO 80915-2618
Phone
(719) 597-9057
Fax
(719) 597-2189
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00203273 CO Primary

Addresses

Primary practice location

6459 Omaha Blvd
Colorado Springs, CO 80915-2618

Mailing address

6459 Omaha Blvd
Colorado Springs, CO 80915-2618
Phone (719) 597-9057

Other identifiers 2

IdentifierTypeStateIssuer
1184145104MedicaidCO
14036844OtherCOCAQH

Other names 1

  • Kathryn McCullough Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00203273COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nichol Family Dentistry, LLC PastSince Nov 9, 2021 Accepting new patients
Falcon Dental Care PC Dentist PastSince Jan 15, 2023 Accepting new patients

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1184145104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6459 OMAHA BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152618",
            "telephone_number": "719-597-9057",
            "fax_number": "719-597-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6459 OMAHA BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152618",
            "telephone_number": "719-597-9057",
            "fax_number": "719-597-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00203273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184145104",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14036844",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MCCULLOUGH",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.