Active NPI
Mathew Hudgens, CMT, LAC
- Acupuncturist
- Boulder, CO
National Provider Identifier
1558540302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2249
- Practice address
- 1800 30TH St
Boulder, CO 80301 - Phone
- (303) 888-5291
- NPI assigned
- Oct 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | |||
| Acupuncturist | 171100000X | 2249 | CO | Primary |
Addresses
Primary practice location
1800 30TH St
Boulder, CO 80301
Mailing address
PO Box 3767
Boulder, CO 80307-3767
Phone (970) 393-9777
Other practice location 1
1800 30th St
Boulder, CO 80301
Phone (303) 888-5291
Other names 1
- Matthew Hudgens
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gunbarrel Physical Therapy and Massage | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Boulder, CO
- NPI 1295924678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572739200000",
"number": "1558540302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3767",
"city": "BOULDER",
"state": "CO",
"postal_code": "803073767",
"telephone_number": "970-393-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 30TH ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "80301",
"telephone_number": "303-888-5291"
}
],
"practiceLocations": [
{
"address_1": "1800 30th St",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "80301",
"country_code": "US",
"telephone_number": "303-888-5291",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUDGENS",
"first_name": "MATHEW",
"credential": "CMT, LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-29",
"last_updated": "2019-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "2249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MATTHEW",
"last_name": "HUDGENS",
"credential": "LAC, CMT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Boulder, CO
- Susan Dickes Hubbard, L.C.S.W.
- Dina Joelle Huber, MA, LPCC, NCC
- Marie-Luise Huber
- Gary Raymond Hubiak, DDS
- Katherine Michelle Huckabee, PA
- Hudson Integrative Health Home, LLC (Hudson Integrative, LLC)
- Hudson Integrative Health Home, LLC (Hudson Integrative, LLC)
- Kellie Hudson
- Susan Renae Hudson, NP
- Aaron Hudyma, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.