Individual provider Active NPI

Murphy Wair Jr.

  • Driver
  • Florissant, MO
National Provider Identifier
1780388223
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
W600-5406-7257 Issued in IL
Practice address
2911 Willow Creek Estates Dr
Florissant, MO 63031-1661
Phone
(314) 518-0848
NPI assigned
Mar 29, 2023
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X W600-5406-7257 IL Primary

Addresses

Primary practice location

2911 Willow Creek Estates Dr
Florissant, MO 63031-1661

Mailing address

2911 Willow Creek Estates Dr
Florissant, MO 63031-1661
Phone (314) 518-0848

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
W600-5406-7257ILMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1780388223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 WILLOW CREEK ESTATES DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311661",
            "telephone_number": "314-518-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 WILLOW CREEK ESTATES DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311661",
            "telephone_number": "314-518-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIR",
        "first_name": "MURPHY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "IL",
            "license": "W600-5406-7257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.