Individual provider Active NPI

Kevin Michael Murphy, DDS, MS

  • Prosthodontics
  • Baltimore, MD
National Provider Identifier
1619995735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
7850 Issued in MD
Practice address
3900 N Charles St
Suite 112
Baltimore, MD 21218-1756
Phone
(410) 235-1233
Fax
(410) 235-1286
NPI assigned
Jul 17, 2006
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
Prosthodontics 1223P0700X 7850 MD Primary

Addresses

Primary practice location

3900 N Charles St
Suite 112
Baltimore, MD 21218-1756

Mailing address

3900 N Charles St
Suite 112
Baltimore, MD 21218-1756
Phone (410) 235-1233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160520001971 MD Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9537458120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7850MDMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr K Michael Murphy & Assoc., LLC Past Accepting new patients
Chesapeake Dental Group LLC PastSince Mar 12, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619995735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 N CHARLES ST",
            "address_2": "SUITE 112",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181756",
            "telephone_number": "410-235-1233",
            "fax_number": "410-235-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 N CHARLES ST",
            "address_2": "SUITE 112",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181756",
            "telephone_number": "410-235-1233",
            "fax_number": "410-235-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "7850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.