Individual provider Active NPI

John L. Murzyn, D.C.

  • Chiropractor
  • Aurora, CO
National Provider Identifier
1245388313
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2940 Issued in CO
Practice address
390 S Potomac Way
Ste D
Aurora, CO 80012-2491
Phone
(303) 344-4505
Fax
(303) 341-0565
NPI assigned
Jan 8, 2007
Last updated
Jul 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2940 CO Primary

Addresses

Primary practice location

390 S Potomac Way
Ste D
Aurora, CO 80012-2491

Mailing address

390 S Potomac Way
Ste D
Aurora, CO 80012-2491
Phone (303) 344-4505

Other identifiers 1

IdentifierTypeStateIssuer
35832771MedicaidCO

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

State licenses

LicenseStateTypeSpecialty
2940COMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1245388313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S POTOMAC WAY",
            "address_2": "STE D",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122491",
            "telephone_number": "303-344-4505",
            "fax_number": "303-341-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S POTOMAC WAY",
            "address_2": "STE D",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122491",
            "telephone_number": "303-344-4505",
            "fax_number": "303-341-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURZYN",
        "first_name": "JOHN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35832771",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.