Active NPI
John Barrett Ludlow, DDS, MS, FDS RCSED
- Oral and Maxillofacial Radiology Dentistry
- Chapel Hill, NC
National Provider Identifier
1023177391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Radiology Dentistry
- License
- 0036
- Practice address
- 101 Brauer Hall CB # 7450
Chapel Hill, NC 27599-7450 - Phone
- (919) 966-1221
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 0036 | NC | Primary |
Addresses
Primary practice location
101 Brauer Hall CB # 7450
Chapel Hill, NC 27599-7450
Mailing address
208 Adams Way
Chapel Hill, NC 27516-8060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8995406 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0036 | NC | MD | Oral and Maxillofacial Radiology Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Faculty Practice | Oral and Maxillofacial Radiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023177391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 ADAMS WAY",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275168060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BRAUER HALL CB # 7450",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275997450",
"telephone_number": "919-966-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDLOW",
"first_name": "JOHN",
"middle_name": "BARRETT",
"name_prefix": "Dr.",
"credential": "DDS, MS, FDS RCSED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "NC",
"license": "0036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8995406",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.