SAGE M. HUMPHRIES, DDS., MS., INC. (NPI# 1598290819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598290819 |
| Entity Type | Organization |
| Organization Name | SAGE M. HUMPHRIES, DDS., MS., INC. |
| Other Organization Name | H2 PEDIATRIC DENTISTRY |
| Practice Address |
805 W La Veta Ave Ste 200 Orange CA 92868-3929 |
| Practice Telephone | 7145329700 |
| Practice Fax Number | 7145329766 |
| Mailing Telephone | 7145329700 |
| Mailing Fax Number | 7145329766 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | SAGE MONROE HUMPHRIES (OWNER/PRESIDENT) |
| Authorized Official Telephone | 7149975961 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
53072 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| H2 Pediatric Dentistry | Doing Business As Name - Organization |
| 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 |
| 1457638629 | Sage M. Humphries, Dds., Ms., Inc. | Preferred Provider Organization | 18000 Pioneer Blvd, Ste 207, Artesia, CA 90701-3976 | 2011-11-15 |
| Street Address |
805 W LA VETA AVE STE 200 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932684990 | Orange Children's Dentistry, LLC | Dentist | 518 Boston Post Rd Ste 4-5, Orange, CT 06477-3554 | 2018-09-26 |
| 1396052734 | Eduardo Correa D.d.s., Inc | Dentist | 744 E Chapman Ave, #5, Orange, CA 92866-1621 | 2010-09-07 |
| 1639344856 | Feiya Li | Dentist | 124 New Haven Ave, Orange, CT 06477-3122 | 2008-04-29 |
| 1679925390 | Ruiz Dental Corporation | Dentist | 1122 E Lincoln Ave, Suite 212, Orange, CA 92865-1907 | 2016-07-06 |
| 1841502473 | Robert Jeffrey Laughlin | Dentist | 13296 James Madison Hwy, Orange, VA 22960-2810 | 2010-07-12 |
| 1215070735 | Howard D. Brostoff, D.d.s., Inc | Dentist | 805 W La Veta Ave, Suite 200, Orange, CA 92868-3901 | 2007-02-14 |
| 1689750242 | Howard David Brostoff | Dentist | 805 W La Veta Ave, Suite 200, Orange, CA 92868-3901 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
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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.