NPIMap

Organization Active NPI

Huber Dental Incorporated

  • Dentist
  • Newbury Park, CA
National Provider Identifier
1376867077
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44701 Issued in CA
Legal business name
HUBER DENTAL INCORPORATED
Practice address
2377 Michael Drive
Newbury Park, CA 91320
Phone
(805) 498-9641
Fax
(805) 498-1981
NPI assigned
Mar 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Dr. Donald Edward Huber Jr., DDSNPI 1881918571
Title
President
Phone
(805) 498-9641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 44701 CA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 45707 CA

Addresses

Primary practice location

2377 Michael Drive
Newbury Park, CA 91320

Mailing address

2377 Michael Drive
Newbury Park, CA 91320
Phone (805) 498-9641

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.

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1376867077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 MICHAEL DRIVE",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "91320",
            "telephone_number": "805-498-9641",
            "fax_number": "805-498-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 MICHAEL DRIVE",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "91320",
            "telephone_number": "805-498-9641",
            "fax_number": "805-498-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBER DENTAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-498-9641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "44701",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.