Individual provider Active NPI

Thomas F Murdoch, D.C.

  • Chiropractor
  • Idaho Falls, ID
National Provider Identifier
1790923639
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1356 Issued in ID
Practice address
2060 E 25TH St
Idaho Falls, ID 83404-6490
Phone
(208) 522-4274
NPI assigned
Jan 30, 2009
Last updated
Jan 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1356 ID Primary

Addresses

Primary practice location

2060 E 25TH St
Idaho Falls, ID 83404-6490

Mailing address

2060 E 25TH St
Idaho Falls, ID 83404-6490
Phone (208) 522-4274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090612000344 ID Practitioner - Chiropractic 3375693351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2060 E 25TH St
Idaho Falls, ID 83404-6490
Phone (208) 522-4274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1356IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Wellness Chiropractic PLLC Chiropractor PastSince Mar 1, 2009 Accepting new patients

Organizations & group practices 2

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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1790923639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046490",
            "telephone_number": "208-522-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046490",
            "telephone_number": "208-522-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCH",
        "first_name": "THOMAS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.