Tyson R Murdock, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4302 Issued in ID

Practice address

2205 Channing Way
Suite a
Idaho Falls, ID 83404-8016

Phone

(208) 529-4484

Fax

(208) 523-4441

NPI assigned

Jun 17, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Foothills Dental Care

  • Dental Clinic/Center
  • Idaho Falls, ID
  • NPI 1275619090
  NPD (past)
• Foothills Dental Care, PLLC

  • Dentist
  • Idaho Falls, ID
  • NPI 1205175668
  NPD (past)

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1740501410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 GEORGIA LN",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834067812",
            "telephone_number": "208-419-9570",
            "fax_number": "208-523-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 CHANNING WAY",
            "address_2": "SUITE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048016",
            "telephone_number": "208-529-4484",
            "fax_number": "208-523-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "TYSON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas F Murdoch, D.C.
• Isabel Amia Murdock
• Jonathan Riley Murdock, LCSW
• Tasha Murdock
• Tina Marie Murdock, PA-C
• Wayne Bernell Murdock, D.D.S.
• Joshua M Murphy, DMD
• Marcus Murphy, MD
• Rick Murphy, DC
• David Paul Murray, DO

• General Practice Dentistry in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.