John G. Hubbard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3721 Issued in WV

Practice address

75 Spyrock Loop Road
Lookout, WV 25868

Phone

(304) 587-4232

Fax

(304) 587-2092

NPI assigned

Sep 20, 2006

Last updated

Sep 1, 2010By 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 WV

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

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.

• John G. Hubbard, DDS, PLLC

  • General Practice Dentistry
  • Clay, WV
  • NPI 1336498104
  Authorized official Same address or phone

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1356449938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 337",
            "city": "SCARBRO",
            "state": "WV",
            "postal_code": "259170337",
            "telephone_number": "304-574-2076",
            "fax_number": "304-574-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SPYROCK LOOP ROAD",
            "city": "LOOKOUT",
            "state": "WV",
            "postal_code": "25868",
            "telephone_number": "304-587-4232",
            "fax_number": "304-587-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "JOHN",
        "middle_name": "G.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005755",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Cooper, R N
• Cassandra Cottle
• Stephanie Marie Fox
• Kevin Herbaugh
• New River Health Association, Inc. (Lisa Elliott Health Center)
• Colleen M O'Brien, D.D.S.
• Abigail Lee Sevy
• Ruby Skaggs
• Joel R. Whitaker, DDS

• General Practice Dentistry in Lookout, WV
• Providers in Lookout, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.