Parley Melvin Hubler Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5170 Issued in OK

Practice address

611 W Ruth Ave
Sallisaw, OK 74955-6866

Phone

(918) 775-3200

NPI assigned

Sep 27, 2010

Last updated

Apr 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Parley Hubler Jr DDS PC

  dba Diamond Smiles Dental

  • General Practice Dentistry
  • Sallisaw, OK
  • NPI 1669467270
  Authorized official Same address or phone

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1902115835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 N CLYDESDALE ST",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552460",
            "telephone_number": "918-775-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W RUTH AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749556866",
            "telephone_number": "918-775-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBLER",
        "first_name": "PARLEY",
        "middle_name": "MELVIN",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-27",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32845",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091070A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Artist Horn
• Melissa Ann Horn, FNP
• Hospital Care Consultants of Sallisaw
• Jessica Howard, RSS
• Taylor Howell
• Jada Kay Hunt, LPC-C
• Julie Diane Hunter, BHRS
• Ott Hunter
• Dorothy Hurley
• Andrea L Hurlocker

• General Practice Dentistry in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.