Jeffrey Wayne Hubbard, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15507 Issued in TX

Practice address

4131 N Central Expy Ste 600
Dallas, TX 75204-2174

Phone

(214) 528-3770

Fax

(214) 526-7436

NPI assigned

Sep 13, 2006

Last updated

Feb 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Practice roles

Locations

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.

• Park Cities Family Dentistry, PLLC

  • Preferred Provider Organization
  • Dallas, TX
  • NPI 1164816179
  NPD Authorized official
• Park Cities Family Dentistry, PA

  • Preferred Provider Organization
  • Dallas, TX
  • NPI 1457790933
  NPD (past) Authorized official
• Park Cities Family Dentistry GPS PLLC

  dba Park Cities Family Dentistry

  • Dental Clinic/Center
  • Dallas, TX
  • NPI 1477241412
  NPD

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1336244664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 N CENTRAL EXPY STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042174",
            "telephone_number": "214-528-3770",
            "fax_number": "214-526-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 N CENTRAL EXPY STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042174",
            "telephone_number": "214-528-3770",
            "fax_number": "214-526-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES TYPE 2 ORGANIZATIONAL NPI",
            "identifier": "1164816179",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Andrew Hubacek
• Bradley A Hubbard, MD
• Carolyn Hubbard, L.P.C., L.M.F.T.
• Haley Marie Hubbard, MA, RD, LD, CNSC
• Jacqueline Hubbard, M.D.
• Jennifer Hubbard, LPC ASSOCIATE
• Susan Jeanne Hubbard, MD
• Hope Hubbell
• Roxanne F Hubenak, MD
• Elizabeth Gray Huber, PHD

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.