Active NPI
Irving L. Humphrey, M.D.
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1285812073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D7839
- Practice address
- 4230 Lyndon B Johnson Fwy
Suite 410
Dallas, TX 75244-5806 - Phone
- (972) 404-8677
- NPI assigned
- Feb 5, 2008
- Last updated
- Jul 18, 2008
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D7839 | TX | Primary |
Addresses
Primary practice location
4230 Lyndon B Johnson Fwy
Suite 410
Dallas, TX 75244-5806
Mailing address
14673 Midway Rd
Suite 236
Addison, TX 75001-3171
Phone (972) 404-8677
Other names 1
- Dr. Irving L. Humphrey
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7839 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1285812073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14673 MIDWAY RD",
"address_2": "SUITE 236",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013171",
"telephone_number": "972-404-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 LYNDON B JOHNSON FWY",
"address_2": "SUITE 410",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445806",
"telephone_number": "972-404-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "IRVING",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-05",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "D7839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IRVING",
"last_name": "HUMPHREY",
"middle_name": "L.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.