Individual provider Active NPI

Rex D Murray, D.M.D.

  • General Practice Dentistry
  • Saint Helens, OR
National Provider Identifier
1619025939
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6340 Issued in OR
Practice address
515 N Columbia River Hwy
B
Saint Helens, OR 97051-1274
Phone
(503) 366-0556
Fax
(503) 366-9543
NPI assigned
Jan 5, 2007
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
General Practice Dentistry 1223G0001X D6340 OR Primary

Addresses

Primary practice location

515 N Columbia River Hwy
B
Saint Helens, OR 97051-1274

Mailing address

515 N Columbia River Hwy
B
Saint Helens, OR 97051-1274
Phone (503) 366-0556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20160316002664 OR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3375791445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D6340ORMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619025939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N COLUMBIA RIVER HWY",
            "address_2": "B",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970511274",
            "telephone_number": "503-366-0556",
            "fax_number": "503-366-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N COLUMBIA RIVER HWY",
            "address_2": "B",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970511274",
            "telephone_number": "503-366-0556",
            "fax_number": "503-366-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "REX",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helens, OR

Sources for this page

Verify at the official NPI Registry.