William Hudgins – Dentist in Goochland, VA

Key facts

NPI: 1487070231
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: 0401006481 (VA)
Practice address: 2979 River Rd W
Box 969
Goochland, VA 23063-3230
Phone: (804) 556-2530
NPI assigned: Mar 17, 2014
Sex: Male
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
HHS exclusion list flag: The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	0401006481	VA	Yes

Addresses

Primary practice location

2979 River Rd W
Box 969
Goochland, VA 23063-3230

Mailing address

2979 River Rd W
Box 969
Goochland, VA 23063-3230
Phone (804) 556-2530

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2014.

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1487070231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 RIVER RD W",
            "address_2": "BOX 969",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230633230",
            "telephone_number": "804-556-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 RIVER RD W",
            "address_2": "BOX 969",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230633230",
            "telephone_number": "804-556-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDGINS",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goochland, VA

All providers in Goochland, VA · Dentist in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.