Active NPI
Lauren Murray
- Pediatric Dentistry
- Mount Pleasant, WI
National Provider Identifier
1487049276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 1001092-15
- Practice address
- 5820 Washington Ave
Mt Pleasant, WI 53406-4020 - Phone
- (262) 770-5848
- NPI assigned
- Mar 30, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 1001092-15 | WI | Primary |
Addresses
Primary practice location
5820 Washington Ave
Mt Pleasant, WI 53406-4020
Mailing address
2401 N 82ND St
Wauwatosa, WI 53213-1018
Phone (612) 770-5754
Other practice location 1
5810 S 108th St
Hales Corners, WI 53130-1912
Phone (414) 529-1110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487049276 | Medicaid | WI |
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 |
|---|---|---|---|
| 1001092-15 | WI | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1487049276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 N 82ND ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131018",
"telephone_number": "612-770-5754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 WASHINGTON AVE",
"city": "MT PLEASANT",
"state": "WI",
"postal_code": "534064020",
"telephone_number": "262-770-5848"
}
],
"practiceLocations": [
{
"address_1": "5810 S 108th St",
"address_purpose": "LOCATION",
"city": "Hales Corners",
"state": "WI",
"postal_code": "531301912",
"country_code": "US",
"telephone_number": "414-529-1110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURRAY",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-30",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WI",
"license": "1001092-15",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487049276",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.