DR. MARK HUMPHREY (NPI# 1023556743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023556743 |
| Entity Type | Individual |
| Full Name | DR. MARK HUMPHREY |
| Credential | D.D.S., M.S. |
| Practice Address |
8657 Old Bonhomme Rd Saint Louis MO 63132-3901 |
| Practice Telephone | 6367346896 |
| Mailing Telephone | 6367346896 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2014016805 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770116873 | Mark William Humphrey Sr. | Home Health Aide | 3348 Blaine St Ne, Washington, DC 20019-1327 | 2020-02-17 |
| 1801976402 | Mark E Humphrey | Emergency Medicine | 3209 Colonial Dr, University Specialty Clinics-family & Preventive Medici, Columbia, SC 29203-6930 | 2006-10-17 |
| 1386733731 | Mark S Humphrey | Orthopaedic Surgery | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 | 2006-10-12 |
| 1740291764 | Mark Edward Humphrey | Pharmacist | 2401 W Main St, Va Medical Center, Marion, IL 62959-1188 | 2006-08-11 |
| 1831126648 | Mark Anthony Humphrey | Family Medicine | 110 W Utica St, Oswego, NY 13126-3057 | 2006-06-27 |
| Street Address |
8657 OLD BONHOMME RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63132-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505712 | Takesha Sharice Gates | Home Health | 1614 Page Industrial Blvd, Apt A, Overland, MO 63132 | 2020-07-16 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1538715354 | Katharine M Rug | Dietitian, Registered | 1177 North Warson Rd, St. Louis, MO 63132 | 2019-08-16 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1265902829 | Danica Dupree | Behavior Technician | 1322 Baur Blvd, Olivette, MO 63132 | 2018-11-27 |
| 1598277766 | Carol Lynne Oliver | Counselor | 10176 Corporate Square Dr Ste Office13, Saint Louis, MO 63132 | 2017-10-27 |
| 1972053783 | Rebecca Newel | Counselor | 9378 Olive Blvd Ste 312, Olivette, MO 63132 | 2016-10-05 |
| 1942654074 | Felicia Harris | Durable Medical Equipment & Medical Supplies | 10096 Page Blvd, St Loius, MO 63132 | 2016-04-14 |
| 1518328087 | Joseph Franklin Doney | Counselor | 10101 Woodfield Lane St., Suite 100, St. Louis, MO 63132 | 2016-03-11 |
| 1528428141 | Visiting Personal Care Attendants | Nursing Care | 9270 Olive Blvd Ste A, Olivette, MO 63132 | 2016-02-24 |
| Find all providers in zip 63132 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699281121 | St Louis South Orthodontics | Dentist | 9911 Kennerly Rd Ste H, Saint Louis, MO 63128-2700 | 2017-12-20 |
| 1730434192 | Nefeli Vasilakou | Dentist | 3320 Rutger Street, Saint Louis, MO 63104 | 2012-07-20 |
| 1306115647 | Edward J Shaheen Jr. | Dentist | 10363 Clayton Rd, Saint Louis, MO 63131-2907 | 2011-12-15 |
| 1053538504 | E. Glenn Glassman, D.d.s. PC Dba Orthocare Systems | Dentist | 6925 S Lindbergh Blvd, Saint Louis, MO 63125-4220 | 2007-04-19 |
| 1417174954 | E. Glenn Glassman D.d.s. PC Dba Orthocare Systems | Dentist | 10413 W Florissant Ave, Saint Louis, MO 63136-2342 | 2007-04-19 |
| 1700909991 | Stephen Gerard Nikodem | Dentist | 4116 Von Talge Rd Ste A, Saint Louis, MO 63128-1957 | 2007-04-10 |
| 1295873214 | Heidi Marie Butts | Dentist | 8760 Big Bend Blvd, Saint Louis, MO 63119-3730 | 2007-02-02 |
| 1497838163 | Debra F Fink | Dentist | 13302 Manchester Rd, Saint Louis, MO 63131-1709 | 2006-10-24 |
| 1093810202 | Mazyar Moshiri | Dentist | 777 S. New Ballas Road, Suite 116e, Saint Louis, MO 63141 | 2006-09-13 |
| 1215046008 | Richard James Nissen | Dentist | 31 The Boulevard-st. Louis, Saint Louis, MO 63117 | 2006-08-29 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63132 |
Please comment or provide details below to improve the information on DR. MARK HUMPHREY.
| 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.