Individual provider Active NPI

Donald Robert Murry Jr., DDS

  • General Practice Dentistry
  • Powhatan, VA
National Provider Identifier
1952460099
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401-006179 Issued in VA
Practice address
3250 Anderson Hwy
Powhatan, VA 23139-7307
Phone
(804) 598-2600
Fax
(804) 598-9634
NPI assigned
Dec 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401-006179 VA Primary

Addresses

Primary practice location

3250 Anderson Hwy
Powhatan, VA 23139-7307

Mailing address

3250 Anderson Hwy
Powhatan, VA 23139-7307
Phone (804) 598-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160419000929 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2860790250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401-006179VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Donald R, Murry Jr, DDS, PC General Practice Past Accepting new patients

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952460099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 ANDERSON HWY",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231397307",
            "telephone_number": "804-598-2600",
            "fax_number": "804-598-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 ANDERSON HWY",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231397307",
            "telephone_number": "804-598-2600",
            "fax_number": "804-598-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRY",
        "first_name": "DONALD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401-006179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powhatan, VA

Sources for this page

Verify at the official NPI Registry.