Active NPI
Sue-Lynn Hubbard, D.D.S.
- Dentist
- Catonsville, MD
National Provider Identifier
1356725204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15891
- Practice address
- 616 Frederick Rd
Catonsville, MD 21228-4625 - Phone
- (410) 747-1115
- NPI assigned
- Jul 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15891 | MD | Primary |
Addresses
Primary practice location
616 Frederick Rd
Catonsville, MD 21228-4625
Mailing address
1 Menteith CT
Nottingham, MD 21236-2633
Phone (240) 353-9926
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436400000000",
"number": "1356725204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MENTEITH CT",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212362633",
"telephone_number": "240-353-9926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 FREDERICK RD",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284625",
"telephone_number": "410-747-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "SUE-LYNN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-09",
"last_updated": "2015-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "15891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.