Eugene Humphries, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

21371 Issued in CA

Legal business name

EUGENE HUMPHRIES, D.D.S.

Practice address

27981 Greenfield Dr Ste F
Laguna Niguel, CA 92677-1494

Phone

(949) 362-7474

Fax

(949) 362-0470

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Victoria Candace Funderburk

Title

Dental Consultant

Phone

(714) 716-6244

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1588745459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27981 GREENFIELD DR STE F",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771494",
            "telephone_number": "949-362-7474",
            "fax_number": "949-362-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27981 GREENFIELD DR STE F",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771494",
            "telephone_number": "949-362-7474",
            "fax_number": "949-362-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE HUMPHRIES, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "FUNDERBURK",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "CANDACE",
        "authorized_official_title_or_position": "DENTAL CONSULTANT",
        "authorized_official_telephone_number": "714-716-6244"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "21371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Envision Pediatric Therapy
• Walter Stephen Ernsdorf, PHD
• Santa Adriana Essenberg
• George Valera Estonactoc, PH.D.
• Santiago Estrada, PH.D.
• Tanya Y Evans, M.D.
• Everyday Dental a Dental Corporation of Rachna Surana DDS
• Everyone Has Potential, Inc.
• Rahim Faiz, TRANSLATOR
• Azadeh Farasat

• Orthodontics and Dentofacial Orthopedics Dentistry in Laguna Niguel, CA
• Providers in Laguna Niguel, 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 Apr 16, 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.