Individual provider Active NPI

Kelly Earl Murie Jr., DC

  • Chiropractor
  • Hurricane, UT
National Provider Identifier
1306912969
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6052432-1202 Issued in UT
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

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
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

IdentifierTypeStateIssuer
D6595MedicaidUT
60524321277001OtherUTBCBS

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

LicenseStateTypeSpecialty
6052432-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Murie PLLC Chiropractor Current Accepting new patients
Mt. Gibborim, PLLC Chiropractor PastSince Feb 20, 2006 Accepting new patients
Doctor'S Health Network, Inc. Past Accepting new patients
Coral Canyon Joint & Spine Health PastSince Jul 24, 2022 Accepting new patients

Locations

8475 S Eastern Ave
Ste 101
Las Vegas, NV 89123
Phone (702) 898-3311

Networks

  • UT PPO

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.