Individual provider Active NPI

Brandon T Murphy, D.D.S

  • General Practice Dentistry
  • Oak Park, IL
National Provider Identifier
1386087781
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019029404 Issued in IL
Practice address
100 S Kenilworth Ave
Oak Park, IL 60302-2815
Phone
(708) 524-0330
NPI assigned
Apr 16, 2013
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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 019029404 IL Primary

Addresses

Primary practice location

100 S Kenilworth Ave
Oak Park, IL 60302-2815

Mailing address

100 S Kenilworth Ave
Oak Park, IL 60302-2815
Phone (708) 533-2726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150424001656 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608195649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Murphy Dental Group, PLLC General Practice CurrentSince Jun 18, 2023 Accepting new patients
Wesley C. Wise, DDS & Associates, LTD General Practice PastSince Jun 18, 2023 Accepting new patients

Locations

137 N Oak Park Ave
Ste 202
Oak Park, IL 60301
Phone (708) 524-0330

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, 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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1386087781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S KENILWORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022815",
            "telephone_number": "708-533-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S KENILWORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022815",
            "telephone_number": "708-524-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "BRANDON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.