Active NPI
Kelly Earl Murie Jr., DC
- Chiropractor
- Hurricane, UT
National Provider Identifier
1306912969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6052432-1202
- Practice address
- 1141 W State St Ste 12
Hurricane, UT 84737-2074 - Phone
- (435) 635-7771
- Fax
- (435) 635-7701
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6052432-1202 | UT | Primary |
Addresses
Primary practice location
1141 W State St Ste 12
Hurricane, UT 84737-2074
Mailing address
1141 W State St Ste 12
Hurricane, UT 84737-2074
Phone (435) 635-7771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D6595 | Medicaid | UT | |
| 60524321277001 | Other | UT | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6052432-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Murie PLLC | Chiropractor | Current | Accepting new patients |
| Mt. Gibborim, PLLC | Chiropractor | Past | Accepting new patients |
| Doctor'S Health Network, Inc. | Past | Accepting new patients | |
| Coral Canyon Joint & Spine Health | Past | Accepting new patients |
Locations
8475 S Eastern Ave
Ste 101
Las Vegas, NV 89123
Phone (702) 898-3311
Networks
- UT PPO
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Chiropractor
- Las Vegas, NV
- NPI 1487926069
-
- General Practice Physician
- Hurricane, UT
- NPI 1104345636
-
- Chiropractor
- Hurricane, UT
- NPI 1215154034
-
- Endocrinology, Diabetes & Metabolism Physician
- Las Vegas, NV
- NPI 1073931952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306912969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 W STATE ST STE 12",
"city": "HURRICANE",
"state": "UT",
"postal_code": "847372074",
"telephone_number": "435-635-7771",
"fax_number": "435-635-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 W STATE ST STE 12",
"city": "HURRICANE",
"state": "UT",
"postal_code": "847372074",
"telephone_number": "435-635-7771",
"fax_number": "435-635-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURIE",
"first_name": "KELLY",
"middle_name": "EARL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "6052432-1202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D6595",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "60524321277001",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hurricane, UT
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.