Individual provider Active NPI

Andrew K Murray, D.P.D.

  • Denturist
  • Edmonds, WA
National Provider Identifier
1407971237
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DN00000359 Issued in WA
Practice address
23416 Highway 99
Suite D
Edmonds, WA 98026-9328
Phone
(425) 672-1400
Fax
(425) 672-1408
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X DN00000359 WA Primary

Addresses

Primary practice location

23416 Highway 99
Suite D
Edmonds, WA 98026-9328

Mailing address

23416 Hwy99
D
Edmonds, WA 98026
Phone (425) 672-1400

Other identifiers 2

IdentifierTypeStateIssuer
5045125MedicaidWA
1295802080OtherNPI FOR ORGANIZATION

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
DN00000359WAMDDenturist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew K Murray DPD PS Denturist Past Accepting new patients

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1407971237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23416 HWY99",
            "address_2": "D",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98026",
            "telephone_number": "425-672-1400",
            "fax_number": "425-672-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23416 HIGHWAY 99",
            "address_2": "SUITE D",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980269328",
            "telephone_number": "425-672-1400",
            "fax_number": "425-672-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "ANDREW",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "D.P.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5045125",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR ORGANIZATION",
            "identifier": "1295802080",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.