Individual provider Active NPI

Kevin George Murphy, DDS, MS

  • Periodontics
  • Baltimore, MD
National Provider Identifier
1790149052
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
9124 Issued in MD
Practice address
6080 Falls Rd #202
Baltimore, MD 21209-2498
Phone
(410) 372-0202
Fax
(410) 372-0311
NPI assigned
Apr 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 9124 MD Primary
Prosthodontics 1223P0700X 9124 MD

Addresses

Primary practice location

6080 Falls Rd #202
Baltimore, MD 21209-2498

Mailing address

6080 Falls Rd #202
Baltimore, MD 21209-2498
Phone (410) 372-0202

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9124MDMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin G. Murphy DDS,Ms Periodontics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kmurphy875605@direct.hopkinsmedicine.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1790149052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 FALLS RD #202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092498",
            "telephone_number": "410-372-0202",
            "fax_number": "410-372-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 FALLS RD #202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092498",
            "telephone_number": "410-372-0202",
            "fax_number": "410-372-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KEVIN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "9124",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "9124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.