Active NPI
Daniel Cowen Hudson, D.M.D.
- Dentist
- Luverne, AL
National Provider Identifier
1598100034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4934
- Practice address
- 1666 S Forest Ave
Luverne, AL 36049-7305 - Phone
- (334) 335-3697
- Fax
- (334) 335-4128
- NPI assigned
- May 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4934 | AL | Primary |
Addresses
Primary practice location
1666 S Forest Ave
Luverne, AL 36049-7305
Mailing address
1666 S Forest Ave
Luverne, AL 36049-7305
Phone (334) 335-3697
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06053 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| 920212 | Other | UNITED CONCORDIA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | docdanhudson@gmail.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4934 | AL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Hudson DMD PC | Current | Accepting new patients | |
| Bell Road Dentistry LLC | Past | Accepting new patients |
Locations
1666 S Forest Ave
Luverne, AL 36049
Phone (334) 335-3697
2642 Bell Rd
Montgomery, AL 36117
Phone (334) 395-6695
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Luverne, AL
- NPI 1639201007
-
- Dental Clinic/Center
- Montgomery, AL
- NPI 1881225829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1598100034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1666 S FOREST AVE",
"city": "LUVERNE",
"state": "AL",
"postal_code": "360497305",
"telephone_number": "334-335-3697",
"fax_number": "334-335-4128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1666 S FOREST AVE",
"city": "LUVERNE",
"state": "AL",
"postal_code": "360497305",
"telephone_number": "334-335-3697",
"fax_number": "334-335-4128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "DANIEL",
"middle_name": "COWEN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-09",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "4934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
"identifier": "06053",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "920212",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "docdanhudson@gmail.com",
"affiliation": "N",
"endpointDescription": "doctor email",
"address_1": "1666 S Forest Ave",
"city": "Luverne",
"state": "AL",
"country_code": "US",
"postal_code": "360497305",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Luverne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.