Individual provider Active NPI

Hubbell J Smith, DDS

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1386101673
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.025874 Issued in OH
Practice address
3427 Glenmore Ave
Cincinnati, OH 45211-5434
Phone
(513) 662-4555
Fax
(513) 662-0931
NPI assigned
Feb 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.025874 OH Primary

Addresses

Primary practice location

3427 Glenmore Ave
Cincinnati, OH 45211-5434

Mailing address

3427 Glenmore Ave
Cincinnati, OH 45211-5434
Phone (513) 662-4555

Other practice location 1

234 Goodman Street, ML0803
UCMC Dental Center
Cincinnati, OH 45219
Phone (513) 584-6660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20190711000982 OH Order and Referring Only - DentistPractitioner - Dentist 8729313895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.025874OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1386101673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 GLENMORE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452115434",
            "telephone_number": "513-662-4555",
            "fax_number": "513-662-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3427 GLENMORE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452115434",
            "telephone_number": "513-662-4555",
            "fax_number": "513-662-0931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Goodman Street, ML0803",
            "address_2": "UCMC Dental Center",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45219",
            "country_code": "US",
            "telephone_number": "513-584-6660",
            "fax_number": "513-584-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HUBBELL",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-23",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.