Active NPI
Mike L Murphy, DC
- Chiropractor
- Santa Rosa, CA
National Provider Identifier
1760501332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13847
- Practice address
- 2675 Cleveland Avenue
#11
Santa Rosa, CA 95403-2764 - Phone
- (707) 526-7790
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13847 | CA | Primary |
Addresses
Primary practice location
2675 Cleveland Avenue
#11
Santa Rosa, CA 95403-2764
Mailing address
2675 Cleveland Avenue
#11
Santa Rosa, CA 95403-2764
Phone (707) 526-7790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0138470 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13847 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760501332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 CLEVELAND AVENUE",
"address_2": "#11",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954032764",
"telephone_number": "707-526-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 CLEVELAND AVENUE",
"address_2": "#11",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954032764",
"telephone_number": "707-526-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "MIKE",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "13847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC0138470",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.