Individual provider Active NPI

Murray L Smith, DC

  • Chiropractor
  • Tumwater, WA
National Provider Identifier
1841229242
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002036 Issued in WA
Practice address
1526 Bishop Rd SW
Tumwater, WA 98512-7354
Phone
(360) 459-9000
Fax
(360) 459-9183
NPI assigned
Jun 30, 2006
Last updated
Jun 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002036 WA Primary

Addresses

Primary practice location

1526 Bishop Rd SW
Tumwater, WA 98512-7354

Mailing address

1526 Bishop Rd SW
Tumwater, WA 98512-7354
Phone (360) 459-9000

Other identifiers 2

IdentifierTypeStateIssuer
P00172865OtherWAGBA MEDICARE NUMBER
57050OtherWAL&I PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000751 WA Practitioner - Chiropractic 5092735415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastside Chiropractic Services, PSGroup PAC ID 9032256474, 2 clinicians

Practice addresses (Care Compare)

1526 Bishop Rd SW
Tumwater, WA 98512-7354
Phone (360) 459-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Chiropractic Services, PS Chiropractor CurrentSince Jun 1, 2001 Accepting new patients

Locations

1526 Bishop Rd SW
Tumwater, WA 98512
Phone (360) 459-9000

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, 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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1841229242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 BISHOP RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127354",
            "telephone_number": "360-459-9000",
            "fax_number": "360-459-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 BISHOP RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127354",
            "telephone_number": "360-459-9000",
            "fax_number": "360-459-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MURRAY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GBA MEDICARE NUMBER",
            "identifier": "P00172865",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "57050",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.