Individual provider Active NPI

Brent Murphy, D.D.S.

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1295932127
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6699 Issued in NE
Practice address
5625 S 62ND St
Lincoln, NE 68516-3560
Phone
(402) 202-9777
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6699 NE Primary

Addresses

Primary practice location

5625 S 62ND St
Lincoln, NE 68516-3560

Mailing address

11725 Vanderview Rd
Hickman, NE 68372-9701
Phone (402) 202-9777

Other practice location 1

311 N 76th St
Omaha, NE 68114-3627
Phone (402) 393-0594

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

State licenses

LicenseStateTypeSpecialty
6699NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
SBM Dental LLC CurrentSince Apr 9, 2024 Accepting new patients
Small Smiles of Omaha, PC General Practice Past Accepting new patients
Smiles 4 Kids PC General Practice Past Accepting new patients

Locations

5625 S 62nd St
Lincoln, NE 68516
Phone (402) 202-9777

Organizations & group practices 3

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1295932127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 VANDERVIEW RD",
            "city": "HICKMAN",
            "state": "NE",
            "postal_code": "683729701",
            "telephone_number": "402-202-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 S 62ND ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163560",
            "telephone_number": "402-202-9777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 N 76th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681143627",
            "country_code": "US",
            "telephone_number": "402-393-0594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.