Active NPI
Carl Arthur Humphries, DMD
- General Practice Dentistry
- Arab, AL
National Provider Identifier
1114974276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3859
- Practice address
- 15 12TH Ave NE
Arab, AL 35016-5403 - Phone
- (256) 586-1330
- Fax
- (256) 586-1329
- NPI assigned
- May 27, 2006
- Last updated
- Apr 20, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3859 | AL | Primary |
Addresses
Primary practice location
15 12TH Ave NE
Arab, AL 35016-5403
Mailing address
PO Box 586
Arab, AL 35016-0586
Phone (256) 586-1330
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510-93552 | Other | AL | BC/BS OF AL PROVIDER NO. |
| 7102000000AL | Other | AL | BC/BS OF MI PROVIDER NO |
| 848340 | Other | AL | UNITED CONCORDIA PROVIDER |
| AL3859 | Other | AL | MUTUAL OF OMAHA |
| 0121721 | Other | AL | BC/BS OF TN PROVIDER NO. |
| 4348602 | Other | AL | AETNA PROVIDER NO. |
| 009998930 | Medicaid | AL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3859 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1114974276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 586",
"city": "ARAB",
"state": "AL",
"postal_code": "350160586",
"telephone_number": "256-586-1330",
"fax_number": "256-586-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 12TH AVE NE",
"city": "ARAB",
"state": "AL",
"postal_code": "350165403",
"telephone_number": "256-586-1330",
"fax_number": "256-586-1329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHRIES",
"first_name": "CARL",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "3859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF AL PROVIDER NO.",
"identifier": "510-93552",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MI PROVIDER NO",
"identifier": "7102000000AL",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER",
"identifier": "848340",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MUTUAL OF OMAHA",
"identifier": "AL3859",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF TN PROVIDER NO.",
"identifier": "0121721",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NO.",
"identifier": "4348602",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009998930",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arab, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.