NPIMap

Organization Active NPI

James W Humphries Jr DDS PA

  • Point of Service
  • Bay City, TX
National Provider Identifier
1629345152
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
15170 Issued in TX
Legal business name
JAMES W HUMPHRIES JR DDS PA
Practice address
2711 4TH St
Bay City, TX 77414-6309
Phone
(979) 245-6541
Fax
(979) 245-0118
NPI assigned
Nov 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Jim Humphries Jr.
Title
Owner/President
Phone
(979) 245-6541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 15170 TX Primary

Addresses

Primary practice location

2711 4TH St
Bay City, TX 77414-6309

Mailing address

2711 4TH St
Bay City, TX 77414-6309

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1629345152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 4TH ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774146309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 4TH ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774146309",
            "telephone_number": "979-245-6541",
            "fax_number": "979-245-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W HUMPHRIES JR DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "979-245-6541",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "15170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.