Individual provider Active NPI

John Edmon Murdock, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lancaster, SC
National Provider Identifier
1235342668
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
690 Issued in SC
Practice address
727 Gillsbrook Rd
Lancaster, SC 29720-1817
Phone
(803) 285-7923
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 690 SC Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8014 NC

Addresses

Primary practice location

727 Gillsbrook Rd
Lancaster, SC 29720-1817

Mailing address

1112 Aringill LN
Matthews, NC 28104-8043
Phone (919) 260-7403

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8014NCMDOrthodontics and Dentofacial Orthopedic Dentist
690SCMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Murdock Orthodontic Group. PA Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Murdock and Murdock, DDS, Ms, PA Orthodontics and Dentofacial Orthopedics Past 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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1235342668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 ARINGILL LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281048043",
            "telephone_number": "919-260-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 GILLSBROOK RD",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201817",
            "telephone_number": "803-285-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "JOHN",
        "middle_name": "EDMON",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "690",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "8014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.