Judy Hulbert-Anderson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54079 Issued in CA

Practice address

101 West Coast Rd.
Redway, CA 95560-0769

Phone

(707) 923-4313

Fax

(707) 923-2590

NPI assigned

Feb 28, 2007

Last updated

Apr 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: judy.andersondds.p1@direct.rrhc.nextgenshare.com

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1386771905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PASEO DEL CANON W # B",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716394",
            "telephone_number": "505-758-7337",
            "fax_number": "505-751-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WEST COAST RD.",
            "city": "REDWAY",
            "state": "CA",
            "postal_code": "955600769",
            "telephone_number": "707-923-4313",
            "fax_number": "707-923-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULBERT-ANDERSON",
        "first_name": "JUDY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD1787",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DD1787",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CA",
            "identifier": "54079",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Louise Hartje, LAC
• Juliet Karen Hegdal, FNP
• Michela Hernandez
• Morgan Danielle Hines
• James Holland, LCSW
• Jami Johnson, L.M.
• Roopkamal Singh Kahlon, DDS
• Ronald John Kehl, DDS
• Alexandra Lape, LM, CPM
• Sarah Frances Lippitt Houston, FNP

• General Practice Dentistry in Redway, CA
• Providers in Redway, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.