Individual provider Active NPI

Steven Clint Hudson, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Huntsville, AL
National Provider Identifier
1629033824
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5051 Issued in AL
Practice address
2317 Whitesburg Dr S
Huntsville, AL 35801-3819
Phone
(256) 533-1282
Fax
(256) 533-1288
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 5051 AL Primary

Addresses

Primary practice location

2317 Whitesburg Dr S
Huntsville, AL 35801-3819

Mailing address

2317 Whitesburg Dr S
Huntsville, AL 35801-3819
Phone (256) 533-1282

Other identifiers 5

IdentifierTypeStateIssuer
001858654OtherPAUNITED CONCORIDA
51003400OtherALBLUECROSS BLUESHIELD AL
4129232OtherTNBLUECROSS BLUESHIELD TN
51136356OtherALBLUECROSS BLUESHIELD AL
009937778MedicaidAL

Other names 1

  • S. Clint Hudson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060921000435 AL Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 0042215378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Louisville School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2317 Whitesburg Dr SE
Huntsville, AL 35801-3819

2317 Whitesburg S Dr
Huntsville, AL 35801-3819
Phone (256) 533-1282

311 Parks Ave
Scottsboro, AL 35768-2411
Phone (256) 533-1282

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5051ALMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
S. Clint Hudson, D.M.D., M.D., L.L.C. Oral and Maxillofacial Surgery CurrentSince Jul 11, 2006 Accepting new patients
HSV-Oms, LLC Oral and Maxillofacial Surgery CurrentSince Oct 1, 2024 Accepting new patients

Locations

2317 Whitesburg Dr SE
Huntsville, AL 35801
Phone (256) 533-1282

311 Parks Ave
Scottsboro, AL 35768
Phone (256) 533-1282

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1629033824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 WHITESBURG DR S",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013819",
            "telephone_number": "256-533-1282",
            "fax_number": "256-533-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 WHITESBURG DR S",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013819",
            "telephone_number": "256-533-1282",
            "fax_number": "256-533-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "STEVEN",
        "middle_name": "CLINT",
        "credential": "DMD, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "5051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORIDA",
            "identifier": "001858654",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD AL",
            "identifier": "51003400",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD TN",
            "identifier": "4129232",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD AL",
            "identifier": "51136356",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937778",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S.",
            "last_name": "HUDSON",
            "middle_name": "CLINT",
            "credential": "DMD, MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.