Individual provider Active NPI

Kaleb Jordan Murray, DDS

  • Dentist
  • Youngsville, LA
National Provider Identifier
1629709159
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7325 Issued in LA
Practice address
3204 E Milton Ave
Suite #300
Youngsville, LA 70592
Phone
(337) 483-1200
NPI assigned
Jun 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7325 LA Primary

Addresses

Primary practice location

3204 E Milton Ave
Suite #300
Youngsville, LA 70592

Mailing address

116 Brentwood Blvd
Lafayette, LA 70503-3830
Phone (504) 615-1264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7325LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Mullen DDS and Kaleb Murray DDS Dental LLC Current Accepting new patients
Ni Samuel Mullen DDS and Kaleb Murray DDS Dental LLC Current Accepting new patients
Mission Dental Mobile LLC Dentist PastSince Mar 12, 2024 Accepting new patients

Locations

3204 E Milton Ave
Ste 300
Youngsville, LA 70592
Phone (337) 483-1200

Organizations & group practices 3

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1629709159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BRENTWOOD BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033830",
            "telephone_number": "504-615-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 E MILTON AVE",
            "address_2": "SUITE #300",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "70592",
            "telephone_number": "337-483-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KALEB",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-24",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.