Individual provider Active NPI

Stephen P. Murrell, DDS

  • Dentist
  • Surprise, AZ
National Provider Identifier
1306825427
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2990 Issued in ME
Practice address
18414 West Mauna Loa Lane
Surprise, AZ 85388
Phone
(661) 886-9537
NPI assigned
Jan 17, 2006
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2990 ME Primary

Addresses

Primary practice location

18414 West Mauna Loa Lane
Surprise, AZ 85388

Mailing address

18414 West Mauna Loa Lane
Surprise, AZ 85388
Phone (661) 886-9537

Other identifiers 2

IdentifierTypeStateIssuer
2990OtherMEDENTIST LICENSE NUMBER
D009698OtherAZDENTIST TRIENNIAL CERTFICATE OF RENEWAL

Other names 1

  • Dr. Stephen P. Murrell Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130417000461 NV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1052557030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1306825427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18414 WEST MAUNA LOA LANE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85388",
            "telephone_number": "661-886-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18414 WEST MAUNA LOA LANE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85388",
            "telephone_number": "661-886-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRELL",
        "first_name": "STEPHEN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "2990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE NUMBER",
            "identifier": "2990",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST TRIENNIAL CERTFICATE OF RENEWAL",
            "identifier": "D009698",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "MURRELL",
            "middle_name": "P.",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.