Organization Active NPI

Bryanna Hubbard Dental Corporation

  • General Practice Dentistry
  • Burbank, CA
National Provider Identifier
1386368371
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRYANNA HUBBARD DENTAL CORPORATION
Practice address
916 W Burbank Blvd Ste a
Burbank, CA 91506-1448
Phone
(818) 943-5517
NPI assigned
Oct 3, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Bryanna Hubbard, DDSNPI 1699300384
Title
Owner
Phone
(818) 943-5517

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

916 W Burbank Blvd Ste a
Burbank, CA 91506-1448

Mailing address

9105 Ballard Dr
Chatsworth, CA 91311-5772
Phone (818) 943-5517

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BBDENTALCARE Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

916 W Burbank Blvd
Ste A
Burbank, CA 91506
Phone (818) 567-0522

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1386368371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 BALLARD DR",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913115772",
            "telephone_number": "818-943-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W BURBANK BLVD STE A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061448",
            "telephone_number": "818-943-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANNA HUBBARD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "BRYANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-943-5517",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BBDENTALCARE",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "916 W Burbank Blvd Ste A",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915061448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.