Active NPI
Terri Hawkins Hubbard, DMD
- Pediatric Dentistry
- Hilton Head Island, SC
National Provider Identifier
1407945843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 4076
- Practice address
- 23 Main St
Suite 302
Hilton Head Island, SC 29926-1648 - Phone
- (843) 671-7336
- Fax
- (843) 671-7335
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 4076 | SC | Primary |
Addresses
Primary practice location
23 Main St
Suite 302
Hilton Head Island, SC 29926-1648
Mailing address
23 Main St
Suite 302
Hilton Head Island, SC 29926-1648
Phone (843) 671-7336
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4076 | SC | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Pediatric Dentistry, LLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Hilton Head, SC
- NPI 1780736546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407945843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 MAIN ST",
"address_2": "SUITE 302",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299261648",
"telephone_number": "843-671-7336",
"fax_number": "843-671-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 MAIN ST",
"address_2": "SUITE 302",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299261648",
"telephone_number": "843-671-7336",
"fax_number": "843-671-7335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "TERRI",
"middle_name": "HAWKINS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "SC",
"license": "4076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilton Head Island, SC
- Hope Performance Systems LLC
- Horizon Rehabilitation and Sports Medicine Limited Partnership
- Horizon Rehabilitation and Sports Medicine, LLC
- Kenneth Horup, D.C.
- James Edward Hubbard Jr., PHARMD
- Abigail Huggett, DPT, PT
- Kathy Jean Hussong, PHARMD
- Stefan Alexandrov Ianchulev, MD
- Henry A Iannuzzi, DDS
- Inspire Psychological Services
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.