Gary R Hubbard DDS PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

11821 Issued in MI

Legal business name

GARY R HUBBARD DDS PC

Practice address

3515 Coolidge Rd
Suite C
East Lansing, MI 48823-8014

Phone

(517) 332-2422

Fax

(517) 332-0810

NPI assigned

Aug 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gary Russell Hubbard, DDS

Title

Dentist

Phone

(517) 332-2422

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1345939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353715200000",
    "number": "1720336696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 COOLIDGE RD",
            "address_2": "SUITE C",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238014",
            "telephone_number": "517-332-2422",
            "fax_number": "517-332-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 COOLIDGE RD",
            "address_2": "SUITE C",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238014",
            "telephone_number": "517-332-2422",
            "fax_number": "517-332-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY R HUBBARD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-26",
        "last_updated": "2012-11-24",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "517-332-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MI",
            "license": "11821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Garred, NP
• Michael David Garrett, PA-C
• Yvonne Bernice Garrison, PT
• Danielle Rose Gartner, PHD
• Gary H. Dwight, D.D.S., P.C.
• Enrique Garza
• Stephen Jay Gaul, MS, ATC
• George N Gazos, D.D.S.
• Steve M Geiger, PHD
• Raymond Emilio Gelabert, MD

• Customized Equipment (DME) in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2012; 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.