Individual provider Active NPI

Kirk Weston Murray, DMD

  • General Practice Dentistry
  • Blanchard, OK
National Provider Identifier
1548755762
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7100 Issued in OK
Practice address
1119 N Council Ave
Blanchard, OK 73010-8037
Phone
(405) 485-2020
NPI assigned
Jun 29, 2018
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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 7100 OK Primary

Addresses

Primary practice location

1119 N Council Ave
Blanchard, OK 73010-8037

Mailing address

1119 N Council Ave
Blanchard, OK 73010-8037
Phone (405) 485-2020

Other practice location 1

1117 NW 32nd St
Newcastle, OK 73065-6326
Phone (405) 387-9300

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
7100OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Molar Current Accepting new patients
Contemporary Family Dentistry, P.C. General Practice Past Accepting new patients

Locations

1119 N Council Ave
Blanchard, OK 73010
Phone (405) 251-2989

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1548755762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 N COUNCIL AVE",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730108037",
            "telephone_number": "405-485-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 N COUNCIL AVE",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730108037",
            "telephone_number": "405-485-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 NW 32nd St",
            "address_purpose": "LOCATION",
            "city": "Newcastle",
            "state": "OK",
            "postal_code": "730656326",
            "country_code": "US",
            "telephone_number": "405-387-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KIRK",
        "middle_name": "WESTON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blanchard, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.