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

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53072 Issued in CA

Legal business name

SAGE M. HUMPHRIES, DDS., MS., INC.

Practice address

6505 Rosemead Blvd Ste 201
Pico Rivera, CA 90660-3543

Phone

(562) 942-1062

NPI assigned

Nov 16, 2017

Organization subpart

No

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

Authorized official

Name

Sage Monroe Humphries, DDS, MS

Title

Owner

Phone

(714) 997-5961

Specialties & licenses 1

Addresses

Other names 1

• H2 Dental Associates Doing business as

Tax ID family

Sage M Humphries DDS Ms Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Sage M. Humphries, DDS., Ms., Inc.

  • Preferred Provider Organization
  • Artesia, CA
  • NPI 1457638629
  NPD tax ID
• Sage M. Humphries, DDS., Ms., Inc.

  • Pediatric Dentistry
  • Orange, CA
  • NPI 1598290819
  NPD tax ID

Locations

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1477067106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 ROSEMEAD BLVD STE 201",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603543",
            "telephone_number": "562-942-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 ROSEMEAD BLVD STE 201",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603543",
            "telephone_number": "562-942-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE M. HUMPHRIES, DDS., MS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "SAGE",
        "authorized_official_middle_name": "MONROE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-997-5961",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H2 Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monique A Rueda
• Arlene Ruiz
• Christina Camille Ruiz, LVN
• Jill Ruby Runas, NP
• George A Saade, M.D.
• Sahawneh Dental Corporation
• Sahawneh Dental Corporation
• Alyssa Salazar, ATC
• Marisa Aracely Salazar, LCSW
• Sandra Leticia Salazar, M.D.

• General Practice Dentistry in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.