Active NPI
Alisha Ferman Humble, DMD
- General Practice Dentistry
- Durham, NC
National Provider Identifier
1962520171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9975
- Practice address
- 4635 Hillsborough Rd
Durham, NC 27705-2343 - Phone
- (919) 383-3882
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DNO13088 | GA | |
| General Practice Dentistry | 1223G0001X | 9975 | NC | Primary |
Addresses
Primary practice location
4635 Hillsborough Rd
Durham, NC 27705-2343
Mailing address
1813 Euclid Rd
Durham, NC 27713-2416
Phone (919) 598-9900
Other practice location 1
2700 S Miami Blvd
Durham, NC 27703-9416
Phone (919) 598-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160602001760 | NC | Order and Referring Only - Dentist | 6103116157 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DNO13088 | GA | MD | General Practice Dentistry |
| 9975 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alisha F. Humble DMD PLLC | Current | Accepting new patients | |
| Gates & Duffy, D.D.S., P.L.L.C. | General Practice | Past | Accepting new patients |
| Karen R. Bremer D.D.S., R.D.H. & Associates P.L.L.C | General Practice | Past | Accepting new patients |
| Lane and Associates VI DDS PA | General Practice | Past | Accepting new patients |
Locations
4635 Hillsborough Rd
Durham, NC 27705
Phone (919) 383-3882
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Durham, NC
- NPI 1750963344
-
- General Practice Dentistry
- Durham, NC
- NPI 1265649826
-
- General Practice Dentistry
- Durham, NC
- NPI 1457523979
-
- General Practice Dentistry
- Durham, NC
- NPI 1295990406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1962520171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 EUCLID RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277132416",
"telephone_number": "919-598-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4635 HILLSBOROUGH RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277052343",
"telephone_number": "919-383-3882"
}
],
"practiceLocations": [
{
"address_1": "2700 S Miami Blvd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277039416",
"country_code": "US",
"telephone_number": "919-598-9900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUMBLE",
"first_name": "ALISHA",
"middle_name": "FERMAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DNO13088",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "9975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.