Active NPI
Kristin Lucas Huber, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Atlanta, GA
National Provider Identifier
1447420898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN013506
- Practice address
- 1218 W Paces Ferry Rd NW Ste 100
Atlanta, GA 30327-2308 - Phone
- (404) 262-2212
- Fax
- (617) 262-6006
- NPI assigned
- Mar 1, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN013506 | GA | Primary |
Addresses
Primary practice location
1218 W Paces Ferry Rd NW Ste 100
Atlanta, GA 30327-2308
Mailing address
1218 W Paces Ferry Rd NW Ste 100
Atlanta, GA 30327-2308
Phone (404) 262-2212
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 |
|---|---|---|---|
| DN013506 | GA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1447420898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 W PACES FERRY RD NW STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303272308",
"telephone_number": "404-262-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 W PACES FERRY RD NW STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303272308",
"telephone_number": "404-262-2212",
"fax_number": "617-262-6006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBER",
"first_name": "KRISTIN",
"middle_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-01",
"last_updated": "2023-11-06",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "DN013506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.