Lauren Elizabeth Hubbard, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019029962 Issued in IL

Practice address

1991 Wiesbrook Rd
Oswego, IL 60543-8311

Phone

(888) 898-2573

NPI assigned

Jul 22, 2014

Sex

Female

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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1225445281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 WIESBROOK RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438311",
            "telephone_number": "888-898-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 WIESBROOK RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438311",
            "telephone_number": "888-898-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Hotuyec, M.A., CCC-SLP
• Alexandra Houck, DPT
• Roy F Houlahan, MD
• Corinna House, LCSW CADC
• Pamela Michelle Howell, PT
• Rachel Marie Hudson, OTR/L
• Hunting for a Solution, LLC
• Danielle Hyatt, MD
• Jeffrey J Hynek, DDS
• Maira Imam

• General Practice Dentistry in Oswego, IL
• Providers in Oswego, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.