Stinson Edward Humphrey, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

5669 Issued in HI

Practice address

62-3590 Emoloa Way
Kamuela, HI 96743-8741

Phone

(408) 316-1927

NPI assigned

Mar 18, 2008

Last updated

Mar 18, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1841461746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62-3590 EMOLOA WAY",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62-3590 EMOLOA WAY",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438741",
            "telephone_number": "408-316-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "STINSON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "HI",
            "license": "5669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Rodgers DC PC (Waimea Chiropractic)
• Paul E Howard, MD
• Kelly Hoyle, PT
• Marian Hughes, M.A.T.
• Whitney C Hughes, MA, LPC, MHC, NCC
• Georgia Elizabeth Hunt
• Ilona L. Higgins MD, LLC
• Peter A. In, M.D.
• Liberty Jacques, DNP, RN, ACNS-BC
• Walter R. Jaeckle I, PH.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.