Individual provider Active NPI

Brian S Huber, D.M.D.

  • General Practice Dentistry
  • Johnstown, PA
National Provider Identifier
1053302885
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS028292L Issued in PA
Practice address
274 Southmont Blvd
Johnstown, PA 15905-2836
Phone
(814) 536-8640
NPI assigned
Nov 1, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS028292L PA Primary

Addresses

Primary practice location

274 Southmont Blvd
Johnstown, PA 15905-2836

Mailing address

274 Southmont Blvd
Johnstown, PA 15905-2836

Other identifiers 5

IdentifierTypeStateIssuer
24529-1OtherPADENTAL BENEFIT PROVIDERS
2197OtherPADORAL DENTAL USA
DNT 67431OtherPAMEDPLUS
118418OtherPABLUE SHIELD
0013017980001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180118001527 PA Practitioner - Dentist 5395034334 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS028292LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Department of Human Services CurrentSince May 11, 2020 Accepting new patients
Pennsylvania Department of Public Welfare CurrentSince May 11, 2020 Accepting new patients

Locations

4501 Admiral Peary Hwy
Ebensburg, PA 15931
Phone (814) 472-0200

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053302885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 SOUTHMONT BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 SOUTHMONT BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052836",
            "telephone_number": "814-536-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "BRIAN",
        "middle_name": "S",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028292L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BENEFIT PROVIDERS",
            "identifier": "24529-1",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL USA",
            "identifier": "2197",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS",
            "identifier": "DNT 67431",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "118418",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013017980001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.