Active NPI
William E Judson, DDS
- Dentist
- El Sobrante, CA
National Provider Identifier
1063553253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28338
- Practice address
- 3980 San Pablo Dam Rd
Ste 203
El Sobrante, CA 94803 - Phone
- (510) 223-4141
- Fax
- (510) 223-4141
- NPI assigned
- Feb 9, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 28338 | CA | Primary |
Addresses
Primary practice location
3980 San Pablo Dam Rd
Ste 203
El Sobrante, CA 94803
Mailing address
3980 San Pablo Dam Rd
Ste 203
El Sobrante, CA 94803
Phone (510) 223-4141
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063553253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3980 SAN PABLO DAM RD",
"address_2": "STE 203",
"city": "EL SOBRANTE",
"state": "CA",
"postal_code": "94803",
"telephone_number": "510-223-4141",
"fax_number": "510-223-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 SAN PABLO DAM RD",
"address_2": "STE 203",
"city": "EL SOBRANTE",
"state": "CA",
"postal_code": "94803",
"telephone_number": "510-223-4141",
"fax_number": "510-223-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDSON",
"first_name": "WILLIAM",
"middle_name": "E",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "28338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Sobrante, CA
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.