Organization Active NPI

Dr. Hubert Dentistry

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1609151455
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
053536 Issued in NY
Legal business name
DR. HUBERT DENTISTRY
Practice address
261 5TH Ave
Suite 1401
New York, NY 10016-7701
Phone
(347) 403-9930
Fax
(212) 475-4523
NPI assigned
Oct 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Dr. Sarah Denise Hubert, D.D.S.
Title
Owner
Phone
(347) 403-9930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 053536 NY Primary

Addresses

Primary practice location

261 5TH Ave
Suite 1401
New York, NY 10016-7701

Mailing address

261 5TH Ave
Suite 1401
New York, NY 10016-7701
Phone (347) 403-9930

Other identifiers 1

IdentifierTypeStateIssuer
1205017381OtherNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

261 5th Ave
Rm 1401
New York, NY 10016
Phone (212) 475-7912

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": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1609151455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 5TH AVE",
            "address_2": "SUITE 1401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167701",
            "telephone_number": "347-403-9930",
            "fax_number": "212-475-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 5TH AVE",
            "address_2": "SUITE 1401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167701",
            "telephone_number": "347-403-9930",
            "fax_number": "212-475-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HUBERT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "HUBERT",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-403-9930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1205017381",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.