Individual provider Active NPI

John Lyon McMurray III, D.M.D.

  • General Practice Dentistry
  • Laurens, SC
National Provider Identifier
1346356193
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
SC 3640 Issued in SC
Practice address
1 Laurensville LN
Laurens, SC 29360-2327
Phone
(864) 984-4343
Fax
(864) 984-4300
NPI assigned
Aug 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 SC 3640 SC Primary

Addresses

Primary practice location

1 Laurensville LN
Laurens, SC 29360-2327

Mailing address

1 Laurensville LN
Laurens, SC 29360-2327
Phone (864) 984-4343

Other identifiers 1

IdentifierTypeStateIssuer
ZX3640MedicaidSC

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
SC 3640SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
John L. McMurray III. DMD LLC CurrentSince Nov 20, 2022 Accepting new patients

Locations

1 Laurensville Ln
Laurens, SC 29360
Phone (864) 984-4343

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346356193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LAURENSVILLE LN",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602327",
            "telephone_number": "864-984-4343",
            "fax_number": "864-984-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAURENSVILLE LN",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602327",
            "telephone_number": "864-984-4343",
            "fax_number": "864-984-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURRAY",
        "first_name": "JOHN",
        "middle_name": "LYON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC 3640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3640",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurens, SC

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.