Individual provider Active NPI

Marilyn Ann Murphy Edel, DC

  • Chiropractor
  • St Clair Shores, MI
National Provider Identifier
1952469827
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004053 Issued in MI
Practice address
22811 Greater Mack
Suite L 9 2
St Clair Shores, MI 48080-2052
Phone
(586) 778-7610
NPI assigned
Dec 4, 2006
Sex
Female
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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 004053 MI Primary
Chiropractor 111N00000X 1266 GA
Chiropractor 111N00000X X009122 NY
Chiropractor 111N00000X 2588 SC

Addresses

Primary practice location

22811 Greater Mack
Suite L 9 2
St Clair Shores, MI 48080-2052

Mailing address

22811 Greater Mack
Suite L 9 2
St Clair Shores, MI 48080-2052
Phone (586) 778-7610

Other names 1

  • Marilyn Ann Murphy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1266GAMDAddiction (Substance Use Disorder) Counselor
004053MIMDChiropractor
X009122NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952469827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22811 GREATER MACK",
            "address_2": "SUITE L 9 2",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802052",
            "telephone_number": "586-778-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22811 GREATER MACK",
            "address_2": "SUITE L 9 2",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802052",
            "telephone_number": "586-778-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY EDEL",
        "first_name": "MARILYN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "004053",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "1266",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009122",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "MURPHY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.