Active NPI
Andrew K Murray, D.P.D.
- Denturist
- Edmonds, WA
National Provider Identifier
1407971237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DN00000359
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5045125 | Medicaid | WA | |
| 1295802080 | Other | NPI 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN00000359 | WA | MD | Denturist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Denturist
- Edmonds, WA
- NPI 1295802080
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.