NPIMap

Organization Active NPI

Daniel Hudson DMD PC

  • General Practice Dentistry
  • Luverne, AL
National Provider Identifier
1639201007
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DANIEL HUDSON DMD PC
Practice address
1666 S Forest Ave
Luverne, AL 36049-7305
Phone
(334) 335-3697
Fax
(334) 335-4128
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Daniel Cowen Hudson, AONPI 1598100034
Title
Owner
Phone
(334) 335-3697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

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
51506053OtherALBCBS OF AL
920212OtherUNITED CONCORDIA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL danielhudsondmdpc@gmail.com Direct Daniel Hudson DMD PC

National Provider Directory

National Provider Directory

Locations

1666 S Forest Ave
Luverne, AL 36049
Phone (334) 335-3697

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1639201007",
    "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": {
        "organization_name": "DANIEL HUDSON DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "COWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-335-3697",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51506053",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "920212",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "danielhudsondmdpc@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "Office email",
            "affiliationName": "Daniel Hudson DMD PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Office 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 Nov 27, 2023; 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.