Kimberly Quan Hubenette, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41522 Issued in CA

Practice address

660 3Rd St W
Sonoma, CA 95476-6805

Phone

(707) 938-9066

Fax

(707) 938-9106

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hubenette Dental Corporation

  • Dentist
  • Sonoma, CA
  • NPI 1306099056
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1508088477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 3RD ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766805",
            "telephone_number": "707-938-9066",
            "fax_number": "707-938-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 3RD ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766805",
            "telephone_number": "707-938-9066",
            "fax_number": "707-938-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBENETTE",
        "first_name": "KIMBERLY",
        "middle_name": "QUAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne W Hsia, DDS
• Lawrence M Huan, MD
• Damaris Huang
• Jared Keith Hubbell, M.D.
• Hubenette Dental Corporation
• Amy Starlite Huddle, LCSW
• Karah Rachia Hudman
• Eric Joseph Hummel
• David N Humphrey
• Alicia Hunt

• General Practice Dentistry in Sonoma, CA
• Providers in Sonoma, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.