Individual provider Active NPI

Joseph Dean Hubbard, MAT, ATC, LAT

  • Athletic Trainer
  • Ames, IA
National Provider Identifier
1659928430
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
095225 Issued in IA
Practice address
5336 Mortensen Rd Unit 301
Ames, IA 50014-8450
Phone
(517) 398-5916
NPI assigned
Aug 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 095225 IA Primary

Addresses

Primary practice location

5336 Mortensen Rd Unit 301
Ames, IA 50014-8450

Mailing address

5336 Mortensen Rd Unit 301
Ames, IA 50014-8450
Phone (517) 398-5916

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Ames

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

LicenseStateTypeSpecialty
095225IAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1659928430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5336 MORTENSEN RD UNIT 301",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500148450",
            "telephone_number": "517-398-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 MORTENSEN RD UNIT 301",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500148450",
            "telephone_number": "517-398-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "JOSEPH",
        "middle_name": "DEAN",
        "credential": "MAT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "095225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ames",
            "affiliation": "N",
            "address_1": "1800 S 4th St",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500111142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.