Active NPI
Twila Bell-Hudley, DDS
- Dentist
- Mooresville, NC
National Provider Identifier
1295485704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14007
- Practice address
- 128 Kistler Farm Rd
Suite 5
Mooresville, NC 28115 - Phone
- (980) 528-4180
- NPI assigned
- Mar 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14007 | NC | Primary |
| Public Health Dentistry | 1223D0001X | 30.027299 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
128 Kistler Farm Rd
Suite 5
Mooresville, NC 28115
Mailing address
7223 Lighthouse Way
Perrysburg, OH 43551-7053
Phone (804) 869-8718
Other practice location 1
2221 Hayes Ave
Fremont, OH 43420-2632
Phone (419) 334-3869
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.027299 | OH | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K. Jasinski, D.M.D., P.C. | Current | Accepting new patients |
Locations
128 Kistler Farm Rd
Ste 5
Mooresville, NC 28115
Phone (980) 528-4180
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.
-
- General Practice Dentistry
- Mooresville, NC
- NPI 1104639145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1295485704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7223 LIGHTHOUSE WAY",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435517053",
"telephone_number": "804-869-8718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 KISTLER FARM RD",
"address_2": "SUITE 5",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "28115",
"telephone_number": "980-528-4180"
}
],
"practiceLocations": [
{
"address_1": "2221 Hayes Ave",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "OH",
"postal_code": "434202632",
"country_code": "US",
"telephone_number": "419-334-3869",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELL-HUDLEY",
"first_name": "TWILA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-27",
"last_updated": "2025-02-26",
"certification_date": "2025-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "14007",
"primary": true
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "OH",
"license": "30.027299",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.