Organization Active NPI

Murphy Frazier Chiropractic, Inc.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1629114087
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
22543 Issued in CA
Legal business name
MURPHY FRAZIER CHIROPRACTIC, INC.
Practice address
2911 4TH Ave
San Diego, CA 92103-5901
Phone
(619) 299-5600
Fax
(619) 299-1606
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. Suzanne Maureen Frazier, D.C.NPI 1154319846
Title
Owner
Phone
(619) 299-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 22543 CA Primary

Addresses

Primary practice location

2911 4TH Ave
San Diego, CA 92103-5901

Mailing address

2911 4TH Ave
San Diego, CA 92103-5901
Phone (619) 299-5600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080110000331 CA Part B Supplier - Clinic/Group Practice 3870673213 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

5030 Camino de la Siesta
Ste 103
San Diego, CA 92108
Phone (619) 299-5600

2911 4th Ave
San Diego, CA 92103
Phone (619) 299-5600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1629114087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035901",
            "telephone_number": "619-299-5600",
            "fax_number": "619-299-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035901",
            "telephone_number": "619-299-5600",
            "fax_number": "619-299-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURPHY FRAZIER CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-299-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "22543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.