Individual provider Active NPI

Vilija Hudson, D.M.D.

  • Dentist
  • Eugene, OR
National Provider Identifier
1629444336
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11064 Issued in OR
Practice address
622 E 22ND Ave Ste F
Eugene, OR 97405-2989
Phone
(630) 209-1444
NPI assigned
Aug 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D11064 OR Primary

Addresses

Primary practice location

622 E 22ND Ave Ste F
Eugene, OR 97405-2989

Mailing address

1738 Estate Dr
Eugene, OR 97405-5891
Phone (630) 209-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20161117000253 IN Order and Referring Only - DentistPractitioner - Dentist 3779862677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D11064ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Vilija Hudson, DMD LLC CurrentSince Sep 5, 2023 Accepting new patients
Bower Family Dentistry Past Accepting new patients
Gill Dental Holdings Past Accepting new patients

Locations

622 E 22nd Ave
Ste F
Eugene, OR 97405
Phone (541) 344-6371

Organizations & group practices 3

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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1629444336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 ESTATE DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974055891",
            "telephone_number": "630-209-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E 22ND AVE STE F",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052989",
            "telephone_number": "630-209-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "VILIJA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.