Active NPI
Michael D Murray, D.D.S.
- Dentist
- Panama City, FL
National Provider Identifier
1942417761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN-14469
- Practice address
- 2507 Harrison Ave.
Suite 100
Panama City, FL 32405 - Phone
- (850) 785-3758
- NPI assigned
- May 17, 2007
- 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 | DN-14469 | FL | Primary |
Addresses
Primary practice location
2507 Harrison Ave.
Suite 100
Panama City, FL 32405
Mailing address
2507 Harrison Avenue
Suite 100
Panama City, FL 32405
Phone (850) 785-3758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20161024002835 | FL | Order and Referring Only - Other (Physician) | 4880972975 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN-14469 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1942417761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2507 HARRISON AVENUE",
"address_2": "SUITE 100",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32405",
"telephone_number": "850-785-3758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2507 HARRISON AVE.",
"address_2": "SUITE 100",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32405",
"telephone_number": "850-785-3758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN-14469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.