Eugene Humphries, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

21371 Issued in CA

Practice address

18000 Pioneer Blvd Ste 207
Artesia, CA 90701-4416

Phone

(562) 860-1333

NPI assigned

Oct 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Eugene Humphries, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Artesia, CA
  • NPI 1508016742
  NPD (past)
• Sage M. Humphries, DDS., Ms., Inc.

  • Preferred Provider Organization
  • Artesia, CA
  • NPI 1457638629
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780772558",
    "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",
            "telephone_number": "562-860-1333"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "EUGENE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "21371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER ID #",
            "identifier": "B21371-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hoon Lee Dental Corporation (Eco Dental)
• Hospice Essential Care Inc
• Melody Hsu, R.PH
• Carrie Huang
• Kamee Huh, D.D.S
• Sung Hwan Hwang, L.AC.
• Tzong-Yueh Hwang, M.D.
• Amanche Ndonwa Ibe, DDS
• Bryan Takanori Imoto, BRYAN IMOTO O.D.
• Ken Imoto, OD

• 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 Jul 8, 2007; 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.