Michael Robert Murphy Jr., DDS
Individual provider Active NPI Dentist · Phillips, WI
NPI 1699797134 · NPPES record last updated Apr 18, 2016
Key facts
- NPI
- 1699797134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 6619-15 (WI)
- Practice address
- 605 Peterson Dr
Phillips, WI 54555-1430 - Phone
- (715) 339-3021
- Fax
- (715) 339-3022
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140702001775 | WI | Order and Referring Only - Oral Surgery |
1254556400 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401008718 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwoods Dentistry, S.C. | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401008718 | VA | |
| Dentist | 122300000X | 6619-15 | WI | Yes |
Addresses
Primary practice location
605 Peterson Dr
Phillips, WI 54555-1430
Mailing address
PO Box 10
Phillips, WI 54555-0010
Phone (715) 339-3021
Other providers in Phillips, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.