Active NPI
Steve Patrick Murphy, D.M.D.
- Endodontics
- Folsom, CA
National Provider Identifier
1346435872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 56684
- Practice address
- 195 Blue Ravine Rd
#200
Folsom, CA 95630-4722 - Phone
- (916) 404-3200
- NPI assigned
- Sep 7, 2007
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 56684 | CA | Primary |
Addresses
Primary practice location
195 Blue Ravine Rd
#200
Folsom, CA 95630-4722
Mailing address
195 Blue Ravine Rd
#200
Folsom, CA 95630-4722
Phone (916) 404-3200
Other practice location 1
14440 Olympic Drive
Clearlake, CA 95422-8809
Phone (707) 263-8383
Other practice location 2
925 Bevins Court
Lakeport, CA 95453-9754
Phone (707) 263-8383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56684 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake County Tribal Health Southshore Clinic | Current | Accepting new patients | |
| Lake County Tribal Health Consortium Inc. | Current | Accepting new patients |
Locations
14440 Olympic Dr
Clearlake, CA 95422
Phone (707) 263-8382
925 Bevins Ct
Lakeport, CA 95453
Phone (707) 263-8382
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Lakeport, CA
- NPI 1881697381
-
- Federally Qualified Health Center (FQHC)
- Clearlake, CA
- NPI 1063158038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1346435872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 BLUE RAVINE RD",
"address_2": "#200",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304722",
"telephone_number": "916-404-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 BLUE RAVINE RD",
"address_2": "#200",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304722",
"telephone_number": "916-404-3200"
}
],
"practiceLocations": [
{
"address_1": "14440 Olympic Drive",
"address_purpose": "LOCATION",
"city": "Clearlake",
"state": "CA",
"postal_code": "954228809",
"country_code": "US",
"telephone_number": "707-263-8383",
"fax_number": "707-263-5019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "925 Bevins Court",
"address_purpose": "LOCATION",
"city": "Lakeport",
"state": "CA",
"postal_code": "954539754",
"country_code": "US",
"telephone_number": "707-263-8383",
"fax_number": "707-263-5019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURPHY",
"first_name": "STEVE",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-07",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "56684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.