Individual provider Active NPI

Walter Keith Murphy, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Mechanicsville, VA
National Provider Identifier
1417951344
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401006869 Issued in VA
Practice address
7009 Lee Park Road
Mechanicsville, VA 23111-3557
Phone
(804) 746-1864
Fax
(804) 746-4158
NPI assigned
Jun 9, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401006869 VA Primary

Addresses

Primary practice location

7009 Lee Park Road
Mechanicsville, VA 23111-3557

Mailing address

7009 Lee Park Road
Mechanicsville, VA 23111-3557
Phone (804) 746-1864

Other identifiers 3

IdentifierTypeStateIssuer
685591OtherVAUNITED CONCORDIA
092570OtherVAANTHEM
114447OtherVACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 10, 2014 through Jan 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401006869VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Oral & Facial Surgery, PC Oral and Maxillofacial Surgery PastSince Aug 1, 2022 Accepting new patients
Dr. Walter K. Murphy, DDS PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wmurphy501228@direct.healthsystem.virginia.edu

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417951344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7009 LEE PARK ROAD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113557",
            "telephone_number": "804-746-1864",
            "fax_number": "804-746-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7009 LEE PARK ROAD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113557",
            "telephone_number": "804-746-1864",
            "fax_number": "804-746-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "WALTER",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401006869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "685591",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "092570",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "114447",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.