NPIMap

Organization Active NPI

Dr. Page Hudson Dental Corporation

  • Pediatric Dentistry
  • Glendora, CA
National Provider Identifier
1366074130
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DR. PAGE HUDSON DENTAL CORPORATION
Practice address
641 W Route 66
Suite E
Glendora, CA 91740
Phone
(805) 755-4371
Fax
(844) 534-8464
NPI assigned
Feb 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Mr. Page Hudson, DDS
Title
Owner
Phone
(916) 877-7450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

641 W Route 66
Suite E
Glendora, CA 91740

Mailing address

1164 National Drive
Suite 40
Sacramento, CA 95834
Phone (916) 877-7450

Other names 1

  • Children's Choice Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children'S Choice Dental Care15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1366074130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 NATIONAL DRIVE",
            "address_2": "SUITE 40",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95834",
            "telephone_number": "916-877-7450",
            "fax_number": "844-534-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W ROUTE 66",
            "address_2": "SUITE E",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91740",
            "telephone_number": "805-755-4371",
            "fax_number": "844-534-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAGE HUDSON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "PAGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-877-7450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Choice Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.