Individual provider Active NPI

James B Hudson, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Springfield, VA
National Provider Identifier
1104996974
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401413645 Issued in VA
Practice address
6116 Rolling Rd
Suite 201
Springfield, VA 22152-1521
Phone
(703) 451-4666
Fax
(703) 866-0741
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8537 TN
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 54900 NY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401413645 VA Primary

Addresses

Primary practice location

6116 Rolling Rd
Suite 201
Springfield, VA 22152-1521

Mailing address

6116 Rolling Rd
Suite 201
Springfield, VA 22152-1521
Phone (703) 451-4666

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

LicenseStateTypeSpecialty
8537TNMDGeneral Practice Dentistry
54900NYMDOrthodontics and Dentofacial Orthopedic Dentist
0401413645VAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brad Hudson, DDS, Ms, PLLC 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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1104996974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 ROLLING RD",
            "address_2": "SUITE 201",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521521",
            "telephone_number": "703-451-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 ROLLING RD",
            "address_2": "SUITE 201",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521521",
            "telephone_number": "703-451-4666",
            "fax_number": "703-866-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JAMES",
        "middle_name": "B",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8537",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "54900",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401413645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.