Lafayette Judkins DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4781 Issued in NC

Legal business name

LAFAYETTE JUDKINS DDS PA

Practice address

207 Turner Dr
Reidsville, NC 27320-5726

Phone

(336) 342-0474

Fax

(336) 342-7684

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lafayette Judkins Sr., DDSNPI 1962626457

Title

Dentist

Phone

(336) 342-0474

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lafayette Judkins Sr., D.D.S.

  • Dentist
  • Reidsville, NC
  • NPI 1962626457
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275632366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1110",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273231110",
            "telephone_number": "336-342-0474",
            "fax_number": "336-342-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 TURNER DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205726",
            "telephone_number": "336-342-0474",
            "fax_number": "336-342-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE JUDKINS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUDKINS",
        "authorized_official_first_name": "LAFAYETTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "336-342-0474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CHOICE",
            "identifier": "94751",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994751",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gokul Krishnan, MD
• Sethu NMN Krishnan, MD
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Lawson Family Care Home #2
• Lawsons Family Care #3
• Lawsons Family Care 2
• Lawsons Family Care 3
• Lawsons Family Care Home#2LLC (Lawsons Family Care Home #2)

• General Practice Dentistry in Reidsville, NC
• Providers in Reidsville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.