Individual provider Active NPI

Janette Murphy, DMD

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1396123899
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39436 Issued in CA
Practice address
2044 Chatsworth Blvd
San Diego, CA 92107-2716
Phone
(619) 223-6767
Fax
(619) 223-6960
NPI assigned
May 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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 39436 CA Primary

Addresses

Primary practice location

2044 Chatsworth Blvd
San Diego, CA 92107-2716

Mailing address

2044 Chatsworth Blvd
San Diego, CA 92107-2716
Phone (619) 223-6767

Other names 1

  • Dr. Janette Larsen Professional name

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
39436CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Janette Murphy General Practice Current Accepting new patients

Locations

2044 Chatsworth Blvd
San Diego, CA 92107
Phone (619) 223-6767

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.

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1396123899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 CHATSWORTH BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072716",
            "telephone_number": "619-223-6767",
            "fax_number": "619-223-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 CHATSWORTH BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072716",
            "telephone_number": "619-223-6767",
            "fax_number": "619-223-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "JANETTE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANETTE",
            "last_name": "LARSEN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.