TERRE HAUTE PERIODONTICS (NPI# 1346278710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346278710 |
| Entity Type | Organization |
| Organization Name | TERRE HAUTE PERIODONTICS |
| Other Organization Name | JAMES HUMPHREY DDS |
| Practice Address |
221 S 19th St Terre Haute IN 47807-4129 |
| Practice Telephone | 8122320064 |
| Practice Fax Number | 8122323834 |
| Mailing Telephone | 8122320064 |
| Mailing Fax Number | 8122323834 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES M HUMPHREY (PRESIDENT) |
| Authorized Official Telephone | 8122320064 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
12009022A | IN | Dental Providers |
| Other Name | Type Code |
|---|---|
| James Humphrey DDS | Former Legal Business Name - Organization |
| Street Address |
221 S 19TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47807-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730116112 | Terre Haute Endodontics PC | Dentist | 221 S 19th St, Terre Haute, IN 47807-4129 | 2006-06-28 |
| 1306140447 | Patricia Clark | Dentist | 221 S 19th St, Terre Haute, IN 47807-4129 | 2011-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972150175 | Acceleraed Rehabilitation Centers Ltd | Physical Therapist | 516 Wabash Ave, Terre Haute, IN 47807 | 2019-08-22 |
| 1548753403 | Terre Haute Aal Lp | Assisted Living Facility | 650 Lafayette Avenue, Terre Haute, IN 47807 | 2018-06-14 |
| 1790286300 | Hamilton Center, Inc. | Clinic/Center | 88 Court Wabash Court, Terre Haute, IN 47807 | 2018-02-28 |
| 1073022703 | Charles Martinez | Case Manager/Care Coordinator | 1619 5th Ave, Terre Haute, IN 47807 | 2017-09-26 |
| 1326578931 | Ian Nicholas Bostock | Specialist/Technologist | 1113 North 8th Street, Terre Haute, IN 47807 | 2017-06-15 |
| 1619309804 | Kimberly R Rollings | Audiologist | 1429 North Sixth Street, Terre Haute, IN 47807 | 2013-07-30 |
| 1376827550 | Lazaro Vu | Pharmacist | 1300 Wabash Avenue, Terre Haute, IN 47807 | 2011-10-05 |
| 1609016211 | Midwest Neurosurgery, P.C. | Specialist | 1530 N. 7th Street, Suite 106, Terre Haute, IN 47807 | 2009-02-23 |
| 1114007838 | Micheal J Deady Dds Inc | Oral & Maxillofacial Surgery | 1630 Poplar St, Terre Haute, IN 47807 | 2006-10-17 |
| 1316958549 | Wabash Valley Urological Assoc Inc | Specialist | 1235 Ohio Street, Terre Haute, IN 47807 | 2006-08-11 |
| Find all providers in zip 47807 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023267770 | James M. Humphrey | Dentist | 221 S. 19th Street, Terre Haute, IN 47807-4129 | 2008-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524477 | Katherine E. Ferry | Dentist | 4303 E Windsor Ln, Columbus, IN 47201-4022 | 2020-10-08 |
| 1609421965 | Hawra Alqallaf | Dentist | 1121 W Michigan St # Ds422, Indianapolis, IN 46202-5211 | 2019-08-05 |
| 1952814238 | Center for Implant Denistry and Periodontics, LLC | Dentist | 9885 E 116th St Ste 300, Fishers, IN 46037-9242 | 2017-11-09 |
| 1518470897 | Meridian Street Periodontics, LLC | Dentist | 8801 N Meridian St Ste 103, Indianapolis, IN 46260-2353 | 2017-11-09 |
| 1538410451 | Eon Clinics Indiana LLC | Dentist | 10020 Calumet Ave, Munster, IN 46321-4055 | 2012-10-02 |
| 1164726832 | Indy East Periodontics PC | Dentist | 115 N Shortridge Rd Ste 100, Indianapolis, IN 46219-4917 | 2011-01-10 |
| 1588997183 | Shane T Cope Dds, PC | Dentist | 10435 Commerce Drive, Suite 120, Carmel, IN 46032 | 2009-09-14 |
| 1366697070 | Bruce B. Wiland, Dds, Msd | Dentist | 3415 S Lafountain St Ste K, Kokomo, IN 46902-3827 | 2008-11-21 |
| 1891968194 | James Kirk | Dentist | 500 W Lincoln Hwy Ste N, Merrillville, IN 46410 | 2008-04-08 |
| 1760674642 | James F Bonick | Dentist | 8585 Broadway, Suite 725, Merrillville, IN 46410-7064 | 2007-08-14 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47807 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.