Individual provider Active NPI

Gerald J Murphy, B.S., D.D.S

  • General Practice Dentistry
  • Grand Island, NE
National Provider Identifier
1184757809
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4226 Issued in NE
Practice address
908 N Howard Ave Ste 101
Grand Island, NE 68803-3556
Phone
(308) 384-5100
Fax
(308) 681-0632
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4226 NE Primary

Addresses

Primary practice location

908 N Howard Ave Ste 101
Grand Island, NE 68803-3556

Mailing address

908 N Howard Ave Ste 101
Grand Island, NE 68803-3556
Phone (308) 384-5100

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
4226NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Martin G. Tilley D.D.S., M.D., P.C. 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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184757809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N HOWARD AVE STE 101",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033556",
            "telephone_number": "308-384-5100",
            "fax_number": "308-681-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N HOWARD AVE STE 101",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033556",
            "telephone_number": "308-384-5100",
            "fax_number": "308-681-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "GERALD",
        "middle_name": "J",
        "credential": "B.S., D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • 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.