NPIMap

Organization Active NPI

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

Doing business as H2 Dental Associates

  • General Practice Dentistry
  • Pico Rivera, CA
National Provider Identifier
1477067106
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53072 Issued in CA
Legal business name
SAGE M. HUMPHRIES, DDS., MS., INC.
Doing business as
H2 Dental Associates
Practice address
6505 Rosemead Blvd Ste 201
Pico Rivera, CA 90660-3543
Phone
(562) 942-1062
NPI assigned
Nov 16, 2017
Last updated
Apr 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Sage Monroe Humphries, DDS, MSNPI 1710103486
Title
Owner
Phone
(714) 997-5961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 53072 CA Primary

Addresses

Primary practice location

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

Mailing address

6505 Rosemead Blvd Ste 201
Pico Rivera, CA 90660-3543
Phone (562) 942-1062

Other names 1

  • H2 Dental Associates Doing business as

National Provider Directory

National Provider Directory
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.

Locations

6505 Rosemead Blvd
Ste 201
Pico Rivera, CA 90660
Phone (562) 942-1062

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Pico Rivera, CA

Sources for this page

  • 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.