Thomas Melvin Murray, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007498A Issued in IN

Practice address

1808 Sherman Dr
Suite 2
Princeton, IN 47670-1043

Phone

(812) 385-2420

Fax

(812) 386-7542

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295889186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 SHERMAN DR",
            "address_2": "SUITE 2",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701043",
            "telephone_number": "812-385-2420",
            "fax_number": "812-386-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SHERMAN DR",
            "address_2": "SUITE 2",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701043",
            "telephone_number": "812-385-2420",
            "fax_number": "812-386-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "THOMAS",
        "middle_name": "MELVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007498A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100122090",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Miller, PHARMD
• Jana Millikan
• Elizabeth Miskell, MSW
• Mohamed Hytham I Beck MD
• Jillian Carlson Moon, LSWC
• Krishna Murthy, M.D.
• Kendall R. Nelson, M.A.,LMFT, LCSW
• Linda Sue Neuhoff, OD
• Tabitha Ann Newman
• Ralph H Nichols, MSW LCSW

• General Practice Dentistry in Princeton, IN
• Providers in Princeton, IN by specialty
• General Practice Dentistry in Indiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.