Individual provider Active NPI

Eric Murnan, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Cincinnati, OH
National Provider Identifier
1558755348
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30.026033 Issued in OH
Practice address
11438 Lebanon Rd
Cincinnati, OH 45241-6201
Phone
(513) 769-5545
NPI assigned
Mar 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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 30.026033 OH Primary

Addresses

Primary practice location

11438 Lebanon Rd
Cincinnati, OH 45241-6201

Mailing address

11438 Lebanon Rd
Cincinnati, OH 45241-6201

Other practice location 1

5116 Cedar Village Dr
Mason, OH 45040-3717
Phone (513) 677-3003

Other practice location 2

3006 Glenmore Ave Ste C
Cincinnati, OH 45238-2203
Phone (513) 661-7410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170727001315 LA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0749550531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30.026033OHMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1558755348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11438 LEBANON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452416201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11438 LEBANON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452416201",
            "telephone_number": "513-769-5545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5116 Cedar Village Dr",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450403717",
            "country_code": "US",
            "telephone_number": "513-677-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3006 Glenmore Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452382203",
            "country_code": "US",
            "telephone_number": "513-661-7410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURNAN",
        "first_name": "ERIC",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-19",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.026033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.