Active NPI
Steven Clint Hudson, DMD, MD
- Oral and Maxillofacial Surgery (Dentist)
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 5051
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001858654 | Other | PA | UNITED CONCORIDA |
| 51003400 | Other | AL | BLUECROSS BLUESHIELD AL |
| 4129232 | Other | TN | BLUECROSS BLUESHIELD TN |
| 51136356 | Other | AL | BLUECROSS BLUESHIELD AL |
| 009937778 | Medicaid | AL |
Other names 1
- S. Clint Hudson
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5051 | AL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S. Clint Hudson, D.M.D., M.D., L.L.C. | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| HSV-Oms, LLC | Oral and Maxillofacial Surgery | Current | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Huntsville, AL
- NPI 1144093600
-
- Oral and Maxillofacial Surgery (Dentist)
- Huntsville, AL
- NPI 1164448320
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.