Organization Active NPI

Lauren Humphreys, D.D.S., P.a.

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1851034169
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Dr. Lauren Antonia Humphreys, DDSNPI 1215430194
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.