Individual provider Active NPI

Jasmyne M Morris Humphrey, DDS

  • General Practice Dentistry
  • Bismarck, ND
National Provider Identifier
1366286916
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2509 Issued in ND
Practice address
121 E Front Ave
Bismarck, ND 58504-5589
Phone
(701) 223-1194
Fax
(701) 250-9614
NPI assigned
Jun 19, 2024
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2509 ND Primary

Addresses

Primary practice location

121 E Front Ave
Bismarck, ND 58504-5589

Mailing address

1029 Chippewa Ave NE
Mandan, ND 58554-3612
Phone (701) 318-5749

Other names 1

  • Dr. Jasmyne Marie Morris Professional name

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

LicenseStateTypeSpecialty
2509NDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1366286916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 CHIPPEWA AVE NE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543612",
            "telephone_number": "701-318-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E FRONT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045589",
            "telephone_number": "701-223-1194",
            "fax_number": "701-250-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS HUMPHREY",
        "first_name": "JASMYNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMYNE",
            "last_name": "MORRIS",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.