Benjamin A Hulbert, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-5135 Issued in ID

Practice address

9733 W Ustick Rd
Boise, ID 83704-5202

Phone

(208) 375-8720

NPI assigned

May 7, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ustick Dental Office

  • General Practice Dentistry
  • Boise, ID
  • NPI 1740454388
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1003438581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9733 W USTICK RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045202",
            "telephone_number": "208-375-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9733 W USTICK RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045202",
            "telephone_number": "208-375-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULBERT",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Elizabeth Hughes
• Kathleen Margaret Hughes
• Melanie Hughes, BAS
• Melissa Grace Hughes, PT
• Michell Dawn Hughes, COTAL
• Rick V Hulbert, DC
• Alise Marie Hulford
• Nicole Hulme, SLP
• Kristin K Hulquist, MPT
• Matthew Hulquist, MD

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.