Brian W. Humble, D.D.S., M.S., P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D7053 Issued in OR

Legal business name

BRIAN W. HUMBLE, D.D.S., M.S., P.C.

Practice address

911 Main St
Oregon City, OR 97045-1818

Phone

(503) 650-6116

Fax

(503) 650-6198

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian W. Humble, D.D.S., M.S.

Title

President

Phone

(503) 650-6116

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366655938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MAIN ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451818",
            "telephone_number": "503-650-6116",
            "fax_number": "503-650-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MAIN ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451818",
            "telephone_number": "503-650-6116",
            "fax_number": "503-650-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN W. HUMBLE, D.D.S., M.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUMBLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-650-6116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D7053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.