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DR. JEFFREY WADE HUMBERSON D.D.S.
NPI 1487642641
Dentist - Pediatric Dentistry in Santa Fe, NM

Active since October 12, 2005PECOS Enrolled
490B W ZIA RD, SANTA FE, NM 87505(505) 428-7878 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 13, 2019, Mar 31, 2017 (2 updates tracked since 2017).

About Dr. Jeffrey Wade Humberson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY WADE HUMBERSON D.D.S. (NPI 1487642641) is an individual pediatric dentistry provider in Santa Fe, New Mexico, licensed in New Mexico (DD2156) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487642641
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JEFFREY WADE HUMBERSONCredential: D.D.S.
Location Address490B W ZIA RDSanta Fe, NM 87505-7008
Mailing Address490b W Zia RdSanta Fe, NM 87505-7008 · (505) 428-7878
Phone(505) 428-7878
Sole ProprietorNo
Enumeration DateOctober 12, 2005
Last NPPES UpdateFebruary 13, 20192 updates tracked since enumeration
✔ NPI 1487642641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in NM · DD2156✔ Licensed in MD · 11810✔ Licensed in CO · DEN.00203125
Definition
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.
490B W ZIA RD, Santa Fe, NM 87505
Open in Google Maps ↗

Other Identifiers 1

Medicaid000A9157NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey Wade Humberson D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY FREDERICKS
Social Worker
490B W ZIA RD, SUITE 4
SANTA FE, NM 87505
Santa Fe County (505) 913-3820
DR. ELIZABETH T PRISHKULNIK DDS
Dentist (Pediatric Dentistry)
490B W ZIA RD
SANTA FE, NM 87505
Santa Fe County (505) 428-7878
JOSEPH M. SMITH III MD
Surgery (Vascular Surgery)
490B W ZIA RD, SUITE A
SANTA FE, NM 87505
Santa Fe County (505) 995-8346
CAREY ANN WEBB
Dental Hygienist
490B W ZIA RD
SANTA FE, NM 87505
Santa Fe County (505) 428-7878
DOUGLAS R EGLI MD
Internal Medicine
490B W ZIA RD
SANTA FE, NM 87505
Santa Fe County (505) 913-3820
ST. VINCENT HOSPITAL
Family Medicine (Hospice and Palliative Medicine)
490B W ZIA RD, SUITE 4
SANTA FE, NM 87505
Santa Fe County (505) 913-3820
DR. DENNIS A. FRIEDER DDS
Dentist (Oral and Maxillofacial Surgery)
490B W ZIA RD, SUITE 3
SANTA FE, NM 87505
Santa Fe County (505) 992-1550
JEFFERY B WHEATON DDS MD AND ASSOCIATES LLC
Dentist (Oral and Maxillofacial Surgery)
490B W ZIA RD, SUITE #3
SANTA FE, NM 87505
Santa Fe County (505) 992-1550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Humberson's NPI number?

The NPI number for Jeffrey Humberson is 1487642641. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Jeffrey Humberson located?

Jeffrey Humberson practices at 490B W Zia Rd, Santa Fe, NM 87505. The listed phone number is (505) 428-7878.

What is Jeffrey Humberson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jeffrey Humberson enrolled in Medicare?

Yes. Jeffrey Humberson is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Humberson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jeffrey Humberson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Humberson was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.