Individual provider Active NPI

Robert F. Murray, DDS

  • General Practice Dentistry
  • Aliso Viejo, CA
National Provider Identifier
1295946317
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CA37355 Issued in CA
Practice address
2 Mareblu Lane
Suite 100
Aliso Viejo, CA 92656-3035
Phone
(949) 831-4655
Fax
(949) 831-9723
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CA37355 CA Primary

Addresses

Primary practice location

2 Mareblu Lane
Suite 100
Aliso Viejo, CA 92656-3035

Mailing address

2 Mareblu Lane
Suite 100
Aliso Viejo, CA 92656-3035
Phone (949) 831-4655

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
CA37355CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295946317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MAREBLU LANE",
            "address_2": "SUITE 100",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563035",
            "telephone_number": "949-831-4655",
            "fax_number": "949-831-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAREBLU LANE",
            "address_2": "SUITE 100",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563035",
            "telephone_number": "949-831-4655",
            "fax_number": "949-831-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "ROBERT",
        "middle_name": "F.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA37355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.