SAGE M. HUMPHRIES, DDS., MS., INC.


Address: 18000 Pioneer Blvd, Ste 207, Artesia, CA 90701-3976
Phone: 5628601333

SAGE M. HUMPHRIES, DDS., MS., INC. (NPI# 1457638629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457638629
Entity Type Organization
Organization Name SAGE M. HUMPHRIES, DDS., MS., INC.
Other Organization Name HUMPHRIES ORTHODONTICS
Practice Address 18000 Pioneer Blvd
Ste 207
Artesia
CA 90701-3976
Mailing Address 725 W La Veta Ave
Ste 120
Orange
CA 92868-4403
Practice Telephone 5628601333
Practice Fax Number 5628602833
Mailing Telephone 7149975961
Mailing Fax Number 7149979032
Enumeration Date 2011-11-15
Last Update Date 2011-11-15
Authorized Official Name DR. SAGE M HUMPHRIES (OWNER/PRESIDENT)
Authorized Official Telephone 7149975961
Authorized Official Credential DDS., MS
Is Organization Subpart Y
Parent Organization Name HUMPHRIES ORTHODONTICS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization 53072 CA Managed Care Organizations

Other Provider/Organization Names

Other Name Type Code
Humphries Orthodontics Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1477067106 Sage M. Humphries, Dds., Ms., Inc. Dentist 6505 Rosemead Blvd Ste 201, Pico Rivera, CA 90660-3543 2017-11-16
1598290819 Sage M. Humphries, Dds., Ms., Inc. Dentist 805 W La Veta Ave Ste 200, Orange, CA 92868-3929 2017-04-24

Office Location

Street Address 18000 PIONEER BLVD
STE 207
City ARTESIA
State CA
Zip Code 90701-3976

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093364770 Cerritos Family Denal Center Clinic/Center 20106 S Blvd Ste A & B, Cerritos, CA 90701 2019-09-05
1588121248 Trinh Thi Bui D.d.s.a Dental Corporation Clinic/Center 18510 Gridley Rd, Artesia, CA 90701 2019-02-28
1497226344 Primer Ignacio Bayani Usita Dental Assistant 11635 E. South Street, Artesia, CA 90701 2018-12-17
1891214037 Cho & Kang Dental Corp Dentist 11960 Artesia Blvd Suite 200, Artesia, CA 90701 2017-09-19
1710353065 Anasuyaben Dahyalal Jani Nurse Practitioner 18422 Arline Ave Apt 3, Artesia, CA 90701 2015-08-20
1720473499 Allied Rehab Services, Inc. Clinic/Center 11618 South St, Unit 201, Artesia, CA 90701 2015-03-31
1134478043 Hamlet H. Ong Dentist 17906 S. Pioneer Blvd., #100, Artesia, CA 90701 2012-09-06
1205035169 John Shen Dentist 18369 Pioneer Blvd, Artesia, CA 90701 2007-07-12
1023141991 Norman Chow Dentist 11635 East South St, Artesia, CA 90701 2007-03-13
1629100896 Chau Hue Vu Dentist 11635 East South Street, Childrens Dental Bldg, Artesia, CA 90701 2007-03-12
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518325539 Yungming Chiu D.d.s. Inc. Preferred Provider Organization 17801 Pioneer Blvd Ste H, Artesia, CA 90701-3962 2016-02-04
1255761367 Myung Sim Dang Chiropractic Inc Preferred Provider Organization 11867 Artesia Blvd, Artesia, CA 90701-4002 2013-11-26
1184836009 Bautista Oriel Dental, Inc. Preferred Provider Organization 11960 E. Artesia Blvd., Ste 200, Artesia, CA 90701-4039 2007-05-04

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1356806525 Premierone Plus Aco Preferred Provider Organization 1210 N Jefferson St Ste D, Anaheim, CA 92807-1630 2019-02-01
1548730450 Mastour & Fard Dental Corp Preferred Provider Organization 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 2018-12-04
1689151698 David W Schwartz Md A Medical Corporation Preferred Provider Organization 29645 Rancho California Rd Ste 105, Temecula, CA 92591 2018-07-23
1184100471 Care Allies Ipa, Inc Preferred Provider Organization 1211 W La Palma Ave Ste 309, Anaheim, CA 92801-2811 2018-07-19
1245723071 Pacific Associates Medical Group, Inc. Preferred Provider Organization 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 2018-06-06
1821585266 Anthony Nguyen Dds Inc Preferred Provider Organization 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 2018-04-20
1275038051 Ryan Lange D.m.d. Inc. Preferred Provider Organization 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 2018-03-26
1649798190 Freedom Physicians Corporation Preferred Provider Organization 2295 Huntington Dr., Ste. D, San Marino, CA 91108 2017-09-05
1952835282 Dr. Jose Flores D.d.s Inc. Preferred Provider Organization 11510 Downey Ave, Downey, CA 90241 2017-04-13
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Competitor

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City ARTESIA
Zip Code 90701

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Dataset Information

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.

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