David Eugene Hudec Jr., D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

30-023443 Issued in OH

Practice address

5595 Transportation Blvd
Suite 250
Garfield HTS, OH 44125-5379

Phone

(216) 475-0505

NPI assigned

Jul 6, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hudec & Associates in Dental Care LLC

  • General Practice Dentistry
  • Garfield HTS, OH
  • NPI 1922486000
  NPD (past) Authorized official
• Dr Barry Jaffe and Associates, Inc

  • General Practice Dentistry
  • Garfield Heights, OH
  • NPI 1902070741
  NPD (past)

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1275820748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 TRANSPORTATION BLVD",
            "address_2": "SUITE 250",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441255379",
            "telephone_number": "216-475-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 TRANSPORTATION BLVD",
            "address_2": "SUITE 250",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441255379",
            "telephone_number": "216-475-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDEC",
        "first_name": "DAVID",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-023443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129496",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Lenya Horne, CASE MANAGER
• Malea Howard
• Pamela Jean Hruby, MD
• Davaki Hubbard
• Hudec & Associates in Dental Care LLC
• Deserie Diane Hurt, CERTIFIED DOULA
• Ellen M Iacovone, CNP
• Nadiia Ilyenya
• In Precious Care, LLC
• Infinity Surgery Center LLC

• Dentist in Garfield HTS, OH
• Providers in Garfield HTS, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.