John M Hulbrock, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

035174 Issued in NY

Practice address

145 W 57TH St FL 13
New York, NY 10019-2220

Phone

(212) 582-0123

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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)

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.

• Bespoke Dental Ny PLLC

  • General Practice Dentistry
  • New York, NY
  • NPI 1427556919
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1104931849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W 57TH ST FL 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192220",
            "telephone_number": "212-582-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W 57TH ST FL 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192220",
            "telephone_number": "212-582-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULBROCK",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "035174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huilin Lai, LCSW, P.C.
• Taryn Huizenga, M.D.
• Bryan David Hujsak, P.T.
• Brandon Hulasiya
• Anjali Shivappa Hulbanni, M.D.
• Jeremiah Hulburt, LCSW
• Elena Beth Hull, MFT, CAT
• Gregory Stephen Hull, D.D.S.
• Jeffrey Hull, PA-C
• Melissa W Hull, M.D.

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.