Individual provider Active NPI

Thomas Murtaugh, DC

  • Chiropractor
  • Solon, OH
National Provider Identifier
1972178861
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05098 Issued in OH
Practice address
30775 Bainbridge Rd Ste 170
Solon, OH 44139-2266
Phone
(440) 600-2209
NPI assigned
May 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-05098 OH Primary

Addresses

Primary practice location

30775 Bainbridge Rd Ste 170
Solon, OH 44139-2266

Mailing address

7780 Washington St
Chagrin Falls, OH 44023-4543
Phone (440) 781-1821

Other identifiers 1

IdentifierTypeStateIssuer
DC-05098OtherOHLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Chirofusion Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607002143 OH Practitioner - Chiropractic 6305246737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Timothy J Keyes Jr DC LLCGroup PAC ID 6406853100, 2 clinicians

Practice addresses (Care Compare)

30775 Bainbridge Rd
Suite 170
Solon, OH 44139-2266
Phone (440) 600-2209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-05098OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy J Keyes Jr DC LLC Chiropractor CurrentSince May 24, 2021 Accepting new patients

Locations

30775 Bainbridge Rd
Ste 170
Solon, OH 44139
Phone (440) 600-2209

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1972178861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 WASHINGTON ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234543",
            "telephone_number": "440-781-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30775 BAINBRIDGE RD STE 170",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392266",
            "telephone_number": "440-600-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTAUGH",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DC-05098",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Chirofusion",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30775 Bainbridge Rd Ste 170",
            "city": "Solon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441392266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.