Active NPI
James Young Murdock, DC
- Chiropractor
- Fort Wayne, IN
National Provider Identifier
1962543009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08000970A
- Practice address
- 3460 Stellhorn
Fort Wayne, IN 46815-4630 - Phone
- (260) 485-3350
- NPI assigned
- Feb 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08000970A | IN | Primary |
Addresses
Primary practice location
3460 Stellhorn
Fort Wayne, IN 46815-4630
Mailing address
3460 Stellhorn Rd
Fort Wayne, IN 46815-4630
Phone (260) 485-3350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090225000002 | IN | Practitioner - Chiropractic | 6901966118 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08000970A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1962543009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3460 STELLHORN RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468154630",
"telephone_number": "260-485-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3460 STELLHORN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468154630",
"telephone_number": "260-485-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURDOCK",
"first_name": "JAMES",
"middle_name": "YOUNG",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-10",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08000970A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.