NPIMap

Organization Active NPI

Sage M. Humphries, DDS., Ms., Inc.

  • Preferred Provider Organization
  • Artesia, CA
National Provider Identifier
1457638629
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
53072 Issued in CA
Legal business name
SAGE M. HUMPHRIES, DDS., MS., INC.
Practice address
18000 Pioneer Blvd
Ste 207
Artesia, CA 90701-3976
Phone
(562) 860-1333
Fax
(562) 860-2833
NPI assigned
Nov 15, 2011
Organization subpart
Yes
Parent organization
HUMPHRIES ORTHODONTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Dr. Sage M Humphries, DDS., MSNPI 1710103486
Title
Owner/President
Phone
(714) 997-5961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 53072 CA Primary

Addresses

Primary practice location

18000 Pioneer Blvd
Ste 207
Artesia, CA 90701-3976

Mailing address

725 W la Veta Ave
Ste 120
Orange, CA 92868-4403
Phone (714) 997-5961

Other names 1

  • Humphries Orthodontics Other name

National Provider Directory

National Provider Directory
Tax ID family
Sage M Humphries DDS Ms Inc3 organizations share this tax ID, including this one
Part of
Sage M Humphries DDS Ms Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18000 Pioneer Blvd
Ste 207
Artesia, CA 90701
Phone (562) 860-1333

725 W La Veta Ave
Ste 120
Orange, CA 92868
Phone (714) 997-5961

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1457638629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W LA VETA AVE",
            "address_2": "STE 120",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684403",
            "telephone_number": "714-997-5961",
            "fax_number": "714-997-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 PIONEER BLVD",
            "address_2": "STE 207",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013976",
            "telephone_number": "562-860-1333",
            "fax_number": "562-860-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE M. HUMPHRIES, DDS., MS., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUMPHRIES ORTHODONTICS",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "SAGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "714-997-5961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS., MS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "53072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humphries Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.