Jeffrey Beckett Humphrey, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1856017 Issued in MA

Practice address

650 Main St
Amherst, MA 01002-2435

Phone

(413) 253-9582

Fax

(413) 584-3462

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bagdasarov and Chambers PC

  • General Practice Dentistry
  • Amherst, MA
  • NPI 1750073243
  NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1124199757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 MAIN ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022435",
            "telephone_number": "413-253-9582",
            "fax_number": "413-584-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MAIN ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022435",
            "telephone_number": "413-253-9582",
            "fax_number": "413-584-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "JEFFREY",
        "middle_name": "BECKETT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8816",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Hornik, PHD
• Robert Horowitz, MD
• Michael D Horwich, MD, PHD
• Nicholas Christopher Houle, PHARMD
• George F Howard III, MD
• James G Hunt, D.D.S.
• Lynn Hurst, NP
• Dianne Iannitelli, OTR
• Integrated Orthopedic Physical Therapy, LLC
• Victor Ivancev, DMD

• General Practice Dentistry in Amherst, MA
• Providers in Amherst, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.