Individual provider Active NPI

Theresa B Murry, D.C.

  • Chiropractor
  • Homer, AK
National Provider Identifier
1235140294
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
194946 Issued in AK
Practice address
3780 Bartlett St
Homer, AK 99603-7503
Phone
(907) 313-6300
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3780 Bartlett St
Homer, AK 99603-7503
Phone (907) 630-0513

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20250404002710 AK Practitioner - Chiropractic 3375540347 Practice locations: Homer, AK

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
194946AKMDChiropractor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 194946 AK Primary

Addresses

NPPES NPI Registry

Primary practice location

3780 Bartlett St
Homer, AK 99603-7503

Mailing address

818 Smoky Bay Way # 148
Homer, AK 99603-7653
Phone (907) 313-6300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2025.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1235140294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SMOKY BAY WAY # 148",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037653",
            "telephone_number": "907-313-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 BARTLETT ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037503",
            "telephone_number": "907-313-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRY",
        "first_name": "THERESA",
        "middle_name": "B",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "194946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.