Wesley S. Kubo DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WESLEY S. KUBO DDS, PA

Practice address

458 Mid Cities Blvd
Hurst, TX 76054-2430

Phone

(817) 571-2100

Fax

(817) 519-8269

NPI assigned

Aug 17, 2011

Last updated

Aug 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wesley S Kubo, DDS

Title

Dentist/Owner

Phone

(817) 571-2100

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1700166162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 MID CITIES BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542430",
            "telephone_number": "817-571-2100",
            "fax_number": "817-519-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 MID CITIES BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542430",
            "telephone_number": "817-571-2100",
            "fax_number": "817-519-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY S. KUBO DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "KUBO",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "817-571-2100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Spot Chiro Clinic GP LLC (The Wellness Spot Chiropractic Clinic)
• Jennifer Wells
• Joshua Wells, DC
• Lyndon S. Wells, D.D.S.
• Christopher B Werthmann, DC
• Cheryl Willis West, CPM
• Stacy Lynn Whisman, LPC-S
• Ruthie-Lue Michell Whitmire
• Lloyd Glenwood Wilbert III, MD
• William Leonard Wildey, D.D.S.

• General Practice Dentistry in Hurst, TX
• Providers in Hurst, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.