Individual provider Active NPI

Tony Lavelle Humphries, D. M. D.

  • Dentist
  • Columbia, MS
National Provider Identifier
1497731236
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1977-82 Issued in MS
Practice address
144 Old Highway 98 E
Columbia, MS 39429-6447
Phone
(601) 736-5681
Fax
(601) 736-5606
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1977-82 MS Primary

Addresses

Primary practice location

144 Old Highway 98 E
Columbia, MS 39429-6447

Mailing address

144 Old Highway 98 E
Columbia, MS 39429-6447
Phone (601) 736-5681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160309001887 MS Order and Referring Only - DentistPractitioner - Dentist 6901102409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1977-82MSMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497731236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 OLD HIGHWAY 98 E",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394296447",
            "telephone_number": "601-736-5681",
            "fax_number": "601-736-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 OLD HIGHWAY 98 E",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394296447",
            "telephone_number": "601-736-5681",
            "fax_number": "601-736-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "TONY",
        "middle_name": "LAVELLE",
        "name_prefix": "Dr.",
        "credential": "D. M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "1977-82",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MS

Sources for this page

Verify at the official NPI Registry.