Hub Dental Clinic, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6917 Issued in IA

Legal business name

HUB DENTAL CLINIC, PC

Practice address

655 Walnut St
Suite 134B
Des Moines, IA 50309-3906

Phone

(515) 243-6311

Fax

(515) 244-1572

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Erwin Grask, DDSNPI 1740457167

Title

President

Phone

(515) 243-6311

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Skywalk Hub Dental Clinic Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert E Grask, DDS

  • General Practice Dentistry
  • Des Moines, IA
  • NPI 1740457167
  NPD (past) Authorized official

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144323924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 WALNUT ST",
            "address_2": "SUITE 134B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093906",
            "telephone_number": "515-243-6311",
            "fax_number": "515-244-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 WALNUT ST",
            "address_2": "SUITE 134B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093906",
            "telephone_number": "515-243-6311",
            "fax_number": "515-244-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUB DENTAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRASK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-243-6311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207498",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE DENTAL & BC BS",
            "identifier": "001771",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1639355",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS FEP",
            "identifier": "24933",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skywalk Hub Dental Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• HS Medical Billing Services, Inc. (Medical Billing Services)
• Trevor Thomas Hu
• Ai K Hua, DDS
• Angela Huang, MD
• Celia E Huante, MSE, CADC
• Alicia Hubbard, OTD
• Melinda M Hubbard, P.A.
• Alexandra Hubbell, DO
• David Huber, DO
• Huberty Counseling & Brain Health, LLC

• General Practice Dentistry in Des Moines, IA
• Providers in Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.