Individual provider Active NPI

Mackenzie Hubing, PHDHP

  • Dental Hygienist
  • Philadelphia, PA
National Provider Identifier
1356965461
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH073165 Issued in PA
Practice address
1207 Chestnut St 4TH FL
Philadelphia, PA 19107-4131
Phone
(215) 525-3046
Fax
(215) 567-1617
NPI assigned
Jun 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X PHDH001162 PA
Dental Hygienist 124Q00000X DH073165 PA Primary

Addresses

Primary practice location

1207 Chestnut St 4TH FL
Philadelphia, PA 19107-4131

Mailing address

1233 Locust St 3Rd FL
Philadelphia, PA 19107-5400
Phone (215) 985-4448

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
DH073165PAMDDental Hygienist
PHDH001162PAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia Fight PastSince Jun 7, 2020 Accepting new patients
Philadelphia Fight PastSince Jun 7, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1356965461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 LOCUST ST 3RD FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075400",
            "telephone_number": "215-985-4448",
            "fax_number": "215-985-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 CHESTNUT ST 4TH FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074131",
            "telephone_number": "215-525-3046",
            "fax_number": "215-567-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBING",
        "first_name": "MACKENZIE",
        "credential": "PHDHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "PHDH001162",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH073165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.