John William Humphries, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12511 Issued in FL

Practice address

2505 S Federal Hwy # 1
Fort Pierce, FL 34982-5922

Phone

(772) 464-4646

NPI assigned

Jun 9, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1013176569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 S FEDERAL HWY # 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825922",
            "telephone_number": "772-464-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S FEDERAL HWY # 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825922",
            "telephone_number": "772-464-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Jean Huber, ARNP
• Bill-Leigh Hudson, PTA
• Brianna Janea Hugunea
• Humayun Shareef MD PA
• Jeannette Beverly Hummel, M.A. CCC-SLP
• Jessica Hunt, RN
• Seeta Hunter, OTRL
• Montaser Sakib Huq Talukder, MD
• Deysi Hurtado
• Itzia Maria Hurtado, LMT

• General Practice Dentistry in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.