Active NPI
Lauren Humphreys, D.D.S., P.a.
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
National Provider Identifier
1851034169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LAUREN HUMPHREYS, D.D.S., P.A.
- Practice address
- 14595 Philips Hwy # 1
Jacksonville, FL 32256-3709 - Phone
- (904) 290-8766
- NPI assigned
- Apr 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lauren Antonia Humphreys, DDS
- Title
- President
- Phone
- (850) 814-2587
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
14595 Philips Hwy # 1
Jacksonville, FL 32256-3709
Mailing address
418 Skate Rd
Atlantic Beach, FL 32233-3822
Phone (850) 814-2587
National Provider Directory
National Provider DirectoryLocations
14595 Philips Hwy
Jacksonville, FL 32256
Phone (904) 290-8766
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Jacksonville, FL
- NPI 1215430194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1851034169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 SKATE RD",
"city": "ATLANTIC BEACH",
"state": "FL",
"postal_code": "322333822",
"telephone_number": "850-814-2587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14595 PHILIPS HWY # 1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322563709",
"telephone_number": "904-290-8766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREN HUMPHREYS, D.D.S., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-14",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "HUMPHREYS",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "ANTONIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "850-814-2587",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.