Individual provider Active NPI

Alisha Ferman Humble, DMD

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1962520171
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9975 Issued in NC
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

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160602001760 NC Order and Referring Only - DentistPractitioner - Dentist 6103116157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DNO13088GAMDGeneral Practice Dentistry
9975NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alisha F. Humble DMD PLLC CurrentSince Apr 25, 2021 Accepting new patients
Gates & Duffy, D.D.S., P.L.L.C. General Practice PastSince Apr 25, 2021 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.

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

Verify at the official NPI Registry.