Individual provider Active NPI

Kristen Elizabeth Huber, DMD

  • Pediatric Dentistry
  • Winchester, MA
National Provider Identifier
1538526371
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN1858371 Issued in MA
Practice address
955 Main St Ste 101
Winchester, MA 01890-4300
Phone
(781) 729-1900
NPI assigned
Jan 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN1858371 MA Primary

Addresses

Primary practice location

955 Main St Ste 101
Winchester, MA 01890-4300

Mailing address

99 Kneeland St Apt 1505
Boston, MA 02111-2445
Phone (207) 692-6897

Other practice location 1

54 Haven St
Reading, MA 01867-2929
Phone (781) 944-7799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190104001435 NY Order and Referring Only - DentistPractitioner - Dentist 6507102076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1858371MAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester and Reading Pediatric Dentistry LLC Pediatric Dentistry CurrentSince Sep 25, 2019 Accepting new patients

Locations

54 Haven St
Reading, MA 01867
Phone (781) 944-7799

955 Main St
Ste 101
Winchester, MA 01890
Phone (781) 729-1900

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.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1538526371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 KNEELAND ST APT 1505",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112445",
            "telephone_number": "207-692-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST STE 101",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904300",
            "telephone_number": "781-729-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 Haven St",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "MA",
            "postal_code": "018672929",
            "country_code": "US",
            "telephone_number": "781-944-7799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBER",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1858371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.