Individual provider Active NPI

Geoffrey Hudson, DACM, L.AC.

  • Acupuncturist
  • Springfield, MO
National Provider Identifier
1336423904
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2004001117 Issued in MO
Practice address
1200 E Woodhurst Dr Ste N200
Springfield, MO 65804-3760
Phone
(417) 224-5755
Fax
(417) 268-9527
NPI assigned
Sep 30, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2004001117 MO Primary

Addresses

Primary practice location

1200 E Woodhurst Dr Ste N200
Springfield, MO 65804-3760

Mailing address

1200 E Woodhurst Dr Ste N200
Springfield, MO 65804-3760
Phone (417) 224-5575

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

LicenseStateTypeSpecialty
2004001117MOMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1336423904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR STE N200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043760",
            "telephone_number": "417-224-5575",
            "fax_number": "417-268-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR STE N200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043760",
            "telephone_number": "417-224-5755",
            "fax_number": "417-268-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "GEOFFREY",
        "name_prefix": "Dr.",
        "credential": "DACM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-30",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MO",
            "license": "2004001117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.