Active NPI
Luke B Murphy, DMD
- Dentist
- Shady Cove, OR
National Provider Identifier
1801912183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D8765
- Practice address
- 21300 Hwy 62
Shady Cove, OR 97539-9717 - Phone
- (541) 878-2115
- Fax
- (541) 878-2117
- NPI assigned
- Mar 21, 2007
- Last updated
- Nov 13, 2009
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D8765 | OR | Primary |
Addresses
Primary practice location
21300 Hwy 62
Shady Cove, OR 97539-9717
Mailing address
PO Box 1150
21300 Highway 62
Shady Cove, OR 97539-1150
Phone (541) 878-2115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110520000106 | OR | Order and Referring Only - Oral Surgery | 4385820604 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8765 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Hill Family Dentistry, LLC | Current | Accepting new patients | |
| Shady Cove Family Dentistry | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Practice Dentistry
- Gold Hill, OR
- NPI 1760017263
-
- General Practice Dentistry
- Shady Cove, OR
- NPI 1376819656
-
- General Practice Dentistry
- Central Point, OR
- NPI 1497297923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1801912183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1150",
"address_2": "21300 HIGHWAY 62",
"city": "SHADY COVE",
"state": "OR",
"postal_code": "975391150",
"telephone_number": "541-878-2115",
"fax_number": "541-878-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21300 HWY 62",
"city": "SHADY COVE",
"state": "OR",
"postal_code": "975399717",
"telephone_number": "541-878-2115",
"fax_number": "541-878-2117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "LUKE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D8765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shady Cove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.