Active NPI
David K Murdock, MD
- Dermatology Physician
- Kalispell, MT
National Provider Identifier
1316013147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 6597
- Practice address
- 175 Commons Loop
Ste 300
Kalispell, MT 59901 - Phone
- (406) 756-7555
- Fax
- (406) 756-7517
- NPI assigned
- Nov 24, 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 6597 | MT | Primary |
Addresses
Primary practice location
175 Commons Loop
Ste 300
Kalispell, MT 59901
Mailing address
175 Commons Loop
Ste 300
Kalispell, MT 59901
Phone (406) 756-7555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00103598 | Medicaid | MT |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates PLLP | Dermatology | Current | Accepting new patients |
Locations
175 Commons Loop
Ste 300
Kalispell, MT 59901
Phone (406) 755-7555
Organizations & group practices 1
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.
-
- Dermatology Physician
- Kalispell, MT
- NPI 1114093846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1316013147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 COMMONS LOOP",
"address_2": "STE 300",
"city": "KALISPELL",
"state": "MT",
"postal_code": "59901",
"telephone_number": "406-756-7555",
"fax_number": "406-756-7517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 COMMONS LOOP",
"address_2": "STE 300",
"city": "KALISPELL",
"state": "MT",
"postal_code": "59901",
"telephone_number": "406-756-7555",
"fax_number": "406-756-7517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURDOCK",
"first_name": "DAVID",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MT",
"license": "6597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00103598",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.