Individual provider Active NPI

Kevin James Murray, D.C.

  • Chiropractor
  • Covington, WA
National Provider Identifier
1609910926
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034402 Issued in WA
Practice address
27111 167TH PL SE
Suite #109
Covington, WA 98042-7337
Phone
(253) 639-7639
Fax
(253) 639-8665
NPI assigned
Feb 19, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034402 WA Primary

Addresses

Primary practice location

27111 167TH PL SE
Suite #109
Covington, WA 98042-7337

Mailing address

27111 167TH PL SE
Suite #109
Covington, WA 98042-7337
Phone (253) 639-7639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620000239 WA Practitioner - ChiropracticPractitioner - Oral Surgery 7618911017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27111 167TH PL SE
Suite 109
Covington, WA 98042-7337
Phone (253) 639-7639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Akm Enterprises, Inc CurrentSince May 2, 2005 Accepting new patients
Cascades Chiropractic Center Inc. Chiropractor PastSince May 2, 2005 Accepting new patients

Locations

27111 167th Pl SE
Ste 109
Covington, WA 98042
Phone (253) 639-7639

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609910926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27111 167TH PL SE",
            "address_2": "SUITE #109",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980427337",
            "telephone_number": "253-639-7639",
            "fax_number": "253-639-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27111 167TH PL SE",
            "address_2": "SUITE #109",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980427337",
            "telephone_number": "253-639-7639",
            "fax_number": "253-639-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.