Active NPI
Dennis Nelson Hulbert, D.D.S.
- General Practice Dentistry
- Crystal Falls, MI
National Provider Identifier
1174700090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12383
- Practice address
- 305 Superior Ave
Crystal Falls, MI 49920-1426 - Phone
- (906) 875-9599
- Fax
- (906) 875-4007
- NPI assigned
- Jan 22, 2008
- Last updated
- Jan 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12383 | MI | Primary |
Addresses
Primary practice location
305 Superior Ave
Crystal Falls, MI 49920-1426
Mailing address
6588 Packer Dr
Florence, WI 54121-8368
Phone (715) 528-4998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12383 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kushion Dental, PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Crystal Falls, MI
- NPI 1861806143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1174700090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6588 PACKER DR",
"city": "FLORENCE",
"state": "WI",
"postal_code": "541218368",
"telephone_number": "715-528-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 SUPERIOR AVE",
"city": "CRYSTAL FALLS",
"state": "MI",
"postal_code": "499201426",
"telephone_number": "906-875-9599",
"fax_number": "906-875-4007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULBERT",
"first_name": "DENNIS",
"middle_name": "NELSON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "12383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Falls, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.