Active NPI
Theresa B Murry, D.C.
- Chiropractor
- Homer, AK
National Provider Identifier
1235140294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 194946
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250404002710 | AK | Practitioner - Chiropractic | 3375540347 | Practice locations: Homer, AK |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 194946 | AK | MD | Chiropractor |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 194946 | AK | Primary |
Addresses
NPPES NPI RegistryPrimary 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.