Individual provider Active NPI

Steven R Lubbe, D.M.D.

  • Pediatric Dentistry
  • Midlothian, VA
National Provider Identifier
1326125642
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
040141024 Issued in VA
Practice address
13841 Hull Street Rd
Suite 4
Midlothian, VA 23112-2056
Phone
(804) 739-0963
Fax
(804) 739-0965
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0401410240 VA
Pediatric Dentistry 1223P0221X 040141024 VA Primary

Addresses

Primary practice location

13841 Hull Street Rd
Suite 4
Midlothian, VA 23112-2056

Mailing address

13841 Hull Street Rd
Suite 4
Midlothian, VA 23112-2056
Phone (804) 739-0963

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

LicenseStateTypeSpecialty
040141024VAMDPediatric Dentist
0401410240VAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1326125642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13841 HULL STREET RD",
            "address_2": "SUITE 4",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122056",
            "telephone_number": "804-739-0963",
            "fax_number": "804-739-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13841 HULL STREET RD",
            "address_2": "SUITE 4",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122056",
            "telephone_number": "804-739-0963",
            "fax_number": "804-739-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBBE",
        "first_name": "STEVEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401410240",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "040141024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.