Eugene Humphries, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

EUGENE HUMPHRIES, D.D.S., M.S.

Practice address

18000 Pioneer Blvd Ste 207
Artesia, CA 90701-4416

Phone

(562) 860-1333

Fax

(562) 860-2832

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Victoria Funderburk

Title

Offer MGR

Phone

(714) 716-6244

Specialties & licenses 1

Addresses

Practitioners 1

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

• Eugene Humphries, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Artesia, CA
  • NPI 1780772558
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1508016742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 PIONEER BLVD STE 207",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 PIONEER BLVD STE 207",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014416",
            "telephone_number": "562-860-1333",
            "fax_number": "562-860-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE HUMPHRIES, D.D.S., M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "FUNDERBURK",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OFFER MGR",
        "authorized_official_telephone_number": "714-716-6244"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Artesia, CA
• Providers in Artesia, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.