Active NPI
Jasmyne M Morris Humphrey, DDS
- General Practice Dentistry
- Bismarck, ND
National Provider Identifier
1366286916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2509
- 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, 2024
- Sex
- Female
- 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 | 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
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 |
|---|---|---|---|
| 2509 | ND | MD | Physical 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.