Humphrey Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2014016805 Issued in MO

Legal business name

HUMPHREY ORTHODONTICS, LLC

Practice address

1139 Wentzville Pkwy
Wentzville, MO 63385-3404

Phone

(636) 332-5550

NPI assigned

Feb 1, 2017

Last updated

Feb 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Humphrey, D.D.S., M.S.NPI 1023556743

Title

Manager

Phone

(636) 734-6896

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Mark Humphrey, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wentzville, MO
  • NPI 1023556743
  NPD (past) Authorized official
• John J Sueme, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wentzville, MO
  • NPI 1346306222
  NPD (past)
• Adam Reynolds, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Madison, AL
  • NPI 1164977948
  NPD (past)

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1548708308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 WENTZVILLE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853404",
            "telephone_number": "636-332-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 WENTZVILLE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853404",
            "telephone_number": "636-332-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMPHREY ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-734-6896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2014016805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice L Hughes
• Justin Thomas Hughes, LCSW
• Sara Hughes, LPC
• Chaunceia Hughley-Valentine, PHARMD
• Laurel J Hulsey
• Mark Humphrey, D.D.S., M.S.
• Audrey Hunter
• Jeffrey J Hunter, PT
• David M Ilardi, PLPC
• In Home Health, LLC (ProMedica Hospice (Wentzville))

• Orthodontics and Dentofacial Orthopedics Dentistry in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.