Individual provider Active NPI

James Matthew Hudson, BOCPD

  • Pedorthist
  • Lawton, OK
National Provider Identifier
1083109250
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
LPED
Practice address
924 NW 38TH St
Lawton, OK 73505-3703
Phone
(580) 355-7655
Fax
(580) 355-4033
NPI assigned
Jun 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pedorthist 224L00000X LPED Primary

Addresses

Primary practice location

924 NW 38TH St
Lawton, OK 73505-3703

Mailing address

924 NW 38TH St
Lawton, OK 73505-3703
Phone (580) 355-7655

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1083109250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 NW 38TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053703",
            "telephone_number": "580-355-7655",
            "fax_number": "580-355-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 NW 38TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053703",
            "telephone_number": "580-355-7655",
            "fax_number": "580-355-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "credential": "BOCPD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": null,
            "license": "LPED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.