Organization Active NPI

Murphy Chiropractic Health Center, LLC

  • Chiropractor
  • St Augustine, FL
National Provider Identifier
1639423551
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10299 Issued in FL
Legal business name
MURPHY CHIROPRACTIC HEALTH CENTER, LLC
Practice address
124 Tuscan Way
Suite 103
Saint Augustine, FL 32092-1851
Phone
(904) 940-9813
NPI assigned
Oct 30, 2012
Last updated
Nov 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Dr. Mark Thomas Murphy, D.C.NPI 1225325806
Title
Chiropractor
Phone
(904) 477-8156

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
Chiropractor 111N00000X CH10299 FL Primary

Addresses

Primary practice location

124 Tuscan Way
Suite 103
Saint Augustine, FL 32092-1851

Mailing address

124 Tuscan Way
Suite 103
Saint Augustine, FL 32092-1851
Phone (904) 940-9813

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121228000339 FL Part B Supplier - Clinic/Group Practice 5597918490 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Augustine, FL

National Provider Directory

National Provider Directory

Locations

150 Registry Blvd
Ste 103
St Augustine, FL 32092
Phone (904) 940-9813

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1639423551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 TUSCAN WAY",
            "address_2": "SUITE 103",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320921851",
            "telephone_number": "904-940-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 TUSCAN WAY",
            "address_2": "SUITE 103",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320921851",
            "telephone_number": "904-940-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURPHY CHIROPRACTIC HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "904-477-8156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.