Active NPI
Howard S Lubar, M.D.
- Neurology Physician
- Boulder, CO
National Provider Identifier
1366541195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 14809
- Practice address
- 785 Timber Lane
Boulder, CO 80304-0448 - Phone
- (303) 998-1548
- Fax
- (303) 998-0426
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 14809 | WI | Primary |
Addresses
Primary practice location
785 Timber Lane
Boulder, CO 80304-0448
Mailing address
785 Timber Lane
Boulder, CO 80304-0448
Phone (303) 998-1548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14809 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366541195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 TIMBER LANE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803040448",
"telephone_number": "303-998-1548",
"fax_number": "303-998-0426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 TIMBER LANE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803040448",
"telephone_number": "303-998-1548",
"fax_number": "303-998-0426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBAR",
"first_name": "HOWARD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "14809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.