Individual provider Active NPI

Veronica L. Hudson, D.C

  • Chiropractor
  • Dewey, AZ
National Provider Identifier
1346272291
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7654 Issued in AZ
Practice address
150 S Hwy 69
Ste 7
Dewey, AZ 86327-9502
Phone
(928) 632-1430
Fax
(928) 632-1434
NPI assigned
Jul 7, 2006
Last updated
Nov 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7654 AZ Primary

Addresses

Primary practice location

150 S Hwy 69
Ste 7
Dewey, AZ 86327-9502

Mailing address

150 S Hwy 69
Ste 7
Dewey, AZ 86327-9502
Phone (928) 632-1430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051222000635 AZ Practitioner - Chiropractic 6103859293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7485 E 1St St G
Prescott Valley, AZ 86314-2241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7654AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Disc and Spine Center L.L.C. Chiropractor CurrentSince Oct 10, 2012 Accepting new patients

Locations

7485 E 1st St
Ste G
Prescott Vly, AZ 86314
Phone (602) 298-1600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1346272291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S HWY 69",
            "address_2": "STE 7",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863279502",
            "telephone_number": "928-632-1430",
            "fax_number": "928-632-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S HWY 69",
            "address_2": "STE 7",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863279502",
            "telephone_number": "928-632-1430",
            "fax_number": "928-632-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "VERONICA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewey, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.