Individual provider Active NPI

Michael Robert Murphy Jr., DDS

  • Dentist
  • Phillips, WI
National Provider Identifier
1699797134
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6619-15 Issued in WI
Practice address
605 Peterson Dr
Phillips, WI 54555-1430
Phone
(715) 339-3021
Fax
(715) 339-3022
NPI assigned
Jul 24, 2006
Last updated
Apr 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401008718 VA
Dentist 122300000X 6619-15 WI Primary

Addresses

Primary practice location

605 Peterson Dr
Phillips, WI 54555-1430

Mailing address

PO Box 10
Phillips, WI 54555-0010
Phone (715) 339-3021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20140702001775 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1254556400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401008718VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Northwoods Dentistry, S.C. Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1699797134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "PHILLIPS",
            "state": "WI",
            "postal_code": "545550010",
            "telephone_number": "715-339-3021",
            "fax_number": "715-339-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 PETERSON DR",
            "city": "PHILLIPS",
            "state": "WI",
            "postal_code": "545551430",
            "telephone_number": "715-339-3021",
            "fax_number": "715-339-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008718",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6619-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillips, WI

Sources for this page

Verify at the official NPI Registry.