DR. JACK SEAN HUBAR (NPI# 1063601615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063601615 |
| Entity Type | Individual |
| Full Name | DR. JACK SEAN HUBAR |
| Credential | D.M.D. |
| Practice Address |
1100 Florida Ave New Orleans LA 70119-2714 |
| Practice Telephone | 5049418243 |
| Mailing Telephone | 5049418243 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
P-10 | LA | Dental Providers |
| Street Address |
1100 FLORIDA AVE |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70119-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003881905 | Nicholas John Miniotis | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2714 | 2006-02-22 |
| 1619583788 | Emily Guarisco | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-09-23 |
| 1457965592 | Ammar Shawar | Student in an Organized Health Care Education/Training Program | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-09-05 |
| 1023626363 | Katherine Valeska Carmona Hernandez | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-07-22 |
| 1932727278 | Daphne Salazar | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-07-13 |
| 1336767870 | Caroline Cazayoux | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-07-10 |
| 1205450020 | Lauren Kate Langlois | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-06-08 |
| 1043832686 | Sarah Bruggers Odom | Physician Assistant | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-05-16 |
| 1114550076 | Stefania Balasa | Student in an Organized Health Care Education/Training Program | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-02-19 |
| 1790347185 | Eugene Irvin Rowell IIi | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2019-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1922626365 | Shanika Valcour-leduff | Nurse Practitioner | 535 S Galvez St., New Orleans, LA 70119 | 2020-07-13 |
| 1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
| 1205460235 | Lily Tran | Registered Nurse | 119 S Galvez Street, New Orleans, LA 70119 | 2020-02-28 |
| 1740823137 | Kaylyn Bernard | Case Manager/Care Coordinator | 2626 Canal St., New Orleans, LA 70119 | 2019-10-18 |
| 1114577954 | Alyssia Breion Smith | Case Manager/Care Coordinator | 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 | 2019-09-13 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1972008654 | Griffin Caballero Brown | Student in an Organized Health Care Education/Training Program | 520 Jefferson Davis Hwy, New Orleans, LA 70119 | 2018-03-26 |
| 1902300544 | Kyle Raymond Hoppens | Student in an Organized Health Care Education/Training Program | 4502 Saint Ann Street, New Orleans, LA 70119 | 2018-03-20 |
| Find all providers in zip 70119 | ||||
| Taxonomy Code | 1223X0008X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Radiology |
| The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831387141 | Kavas H Thunthy | Dentist | 1100 Florida Ave, Lsu School of Dentistry, Dept. of Oral Medicine and Radiology, New Orleans, LA 70119-2714 | 2007-10-11 |
| City | NEW ORLEANS |
| Zip Code | 70119 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.