Individual provider Active NPI

Laurie June Dylis Murphy, D.M.D.

  • Dentist
  • Stoughton, MA
National Provider Identifier
1891996971
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18132 Issued in MA
Practice address
1214 Park St
Teamsterscare
Stoughton, MA 02072-3738
Phone
(781) 297-7360
Fax
(781) 297-7830
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18132 MA Primary

Addresses

Primary practice location

1214 Park St
Teamsterscare
Stoughton, MA 02072-3738

Mailing address

136 Bowker St
Norwell, MA 02061-1243
Phone (781) 659-0555

Other names 1

  • Dr. Laurie June Dylis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141016001805 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6002037058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18132MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1891996971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BOWKER ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611243",
            "telephone_number": "781-659-0555",
            "fax_number": "781-356-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 PARK ST",
            "address_2": "TEAMSTERSCARE",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723738",
            "telephone_number": "781-297-7360",
            "fax_number": "781-297-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "LAURIE",
        "middle_name": "JUNE DYLIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "18132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "DYLIS",
            "middle_name": "JUNE",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stoughton, MA

Sources for this page

Verify at the official NPI Registry.