Gary Raymond Hubiak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

CO HD 4447 Issued in CO

Practice address

810 36TH St
Boulder, CO 80303-2440

Phone

(303) 817-8640

NPI assigned

Oct 9, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1770835118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 36TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032440",
            "telephone_number": "303-817-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 36TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032440",
            "telephone_number": "303-817-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBIAK",
        "first_name": "GARY",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "CO HD 4447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Rose Hubbard
• Mayasa Hameed Hubbard, LCSW
• Susan Dickes Hubbard, L.C.S.W.
• Dina Joelle Huber, MA, LPCC, NCC
• Marie-Luise Huber
• Katherine Michelle Huckabee, PA
• Mathew Hudgens, CMT, LAC
• Hudson Integrative Health Home, LLC (Hudson Integrative, LLC)
• Hudson Integrative Health Home, LLC (Hudson Integrative, LLC)
• Kellie Hudson

• General Practice Dentistry in Boulder, CO
• Providers in Boulder, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.