NPIMap

Organization Active NPI

John G. Hubbard, DDS, PLLC

  • General Practice Dentistry
  • Clay, WV
National Provider Identifier
1336498104
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN G. HUBBARD, DDS, PLLC
Practice address
63 Carr St
Clay, WV 25043-9402
Phone
(304) 587-4232
Fax
(304) 587-2092
NPI assigned
Sep 7, 2012
Last updated
Sep 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
John Gabriel Hubbard, DDSNPI 1356449938
Title
Owner
Phone
(304) 587-4232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

63 Carr St
Clay, WV 25043-9402

Mailing address

PO Box 568
63 Carr Street
Clay, WV 25043-0568
Phone (304) 587-4232

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1336498104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "address_2": "63 CARR STREET",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "250430568",
            "telephone_number": "304-587-4232",
            "fax_number": "304-587-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CARR ST",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "250439402",
            "telephone_number": "304-587-4232",
            "fax_number": "304-587-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G. HUBBARD, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-587-4232",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clay, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.