Active NPI
Amanda Hudson, D.M.D
- Dentist
- Birmingham, AL
National Provider Identifier
1659721819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6306
- Practice address
- 2320 7TH Ave S
Birmingham, AL 35233-3207 - Phone
- (205) 251-1010
- NPI assigned
- Jun 20, 2016
- Last updated
- Jun 20, 2016
- Sex
- Female
- 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 | 6306 | AL | Primary |
Addresses
Primary practice location
2320 7TH Ave S
Birmingham, AL 35233-3207
Mailing address
2100 1St Ave N
Suite 300
Birmingham, AL 35203-4213
Phone (205) 623-4455
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170927002950 | AL | Order and Referring Only - Dentist | 7618241720 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Health, LLC | Dentist | Past | Accepting new patients |
| Alabama Health | Dentist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1659721819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 1ST AVE N",
"address_2": "SUITE 300",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352034213",
"telephone_number": "205-623-4455",
"fax_number": "205-415-1398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 7TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352333207",
"telephone_number": "205-251-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "6306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.