Individual provider Active NPI

Daniel Cowen Hudson, D.M.D.

  • Dentist
  • Luverne, AL
National Provider Identifier
1598100034
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4934 Issued in AL
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

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
06053OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
920212OtherUNITED CONCORDIA

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
4934ALMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Hudson DMD PC CurrentSince Mar 22, 2020 Accepting new patients
Bell Road Dentistry LLC PastSince Feb 2, 2020 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.

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.

Verify at the official NPI Registry.