Brian W. Humble, D.D.S., M.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7053 Issued in OR

Practice address

911 Main St
Suite 180
Oregon City, OR 97045-1818

Phone

(503) 650-6116

Fax

(503) 650-6198

NPI assigned

Apr 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Sep 1, 2016 through Sep 1, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brian W. Humble, D.D.S., M.S., P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Oregon City, OR
  • NPI 1366655938
  Authorized official Same address or phone
• Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Oregon City, OR
  • NPI 1770887648
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558484055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MAIN ST",
            "address_2": "SUITE 180",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451818",
            "telephone_number": "503-650-6116",
            "fax_number": "503-650-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MAIN ST",
            "address_2": "SUITE 180",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451818",
            "telephone_number": "503-650-6116",
            "fax_number": "503-650-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMBLE",
        "first_name": "BRIAN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "7053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda K Hulbert
• Lindsey Hulett
• Daniel Frederic Hull, RPH
• Human Nature Medicine
• Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC
• Annette Humphrey, RN
• John H Humphreys, LCSW
• Brian Emery Huntington, PHARM. D.
• Julie Jolene Hurlocker, M.D.
• Brittany C Hutcheon

• Oral and Maxillofacial Surgery (Dentist) in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.