James Wallace Humphries Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15170 Issued in TX

Practice address

2711 4TH St
Bay City, TX 77414-6309

Phone

(979) 245-6541

Fax

(979) 245-0118

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jim Humphries Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Practice roles

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.

• Dennard & Humphries DDS, LLP

  • Dentist
  • Bay City, TX
  • NPI 1205012002
  NPD (past)
• James W Humphries Jr DDS PA

  • Point of Service
  • Bay City, TX
  • NPI 1629345152
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1336150549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 4TH ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774146309",
            "telephone_number": "979-245-6541",
            "fax_number": "979-245-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 4TH ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774146309",
            "telephone_number": "979-245-6541",
            "fax_number": "979-245-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "JAMES",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIM",
            "last_name": "HUMPHRIES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roy Holloway, CRNA
• Tonya Dawn Holloway
• Matthew B Holt, D.C.
• Hospital Care Services PA
• Christina Beth Humphries, DMD
• Jerad Paul Hyde, APRN-CNP
• Jennifer Iglehart, LCSW
• James W Humphries Jr DDS PA
• Jeb Stuart James, DDS
• McKenzie Anne Janak, MSN, APRN, FNP-C

• General Practice Dentistry in Bay City, TX
• Providers in Bay City, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.