Active NPI
David Hudson
- Dentist
- Bethesda, MD
National Provider Identifier
1659075844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39930
- Practice address
- 8930 Brown Dr
Bethesda, MD 20889-8372 - Phone
- (903) 830-5601
- NPI assigned
- Mar 30, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 39930 | TX | Primary |
Addresses
Primary practice location
8930 Brown Dr
Bethesda, MD 20889-8372
Mailing address
2407 Wild Cherry Way
Dallas, TX 75206-8372
Phone (903) 830-5601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250815000978 | TX | Order and Referring Only - Dentist | 4486153673 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1659075844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2407 WILD CHERRY WAY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752068372",
"telephone_number": "903-830-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8930 BROWN DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208898372",
"telephone_number": "903-830-5601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-30",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.