Individual provider Active NPI

Natalia Sophia Hud, D.M.D.

  • General Practice Dentistry
  • Voorhees, NJ
National Provider Identifier
1669755633
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI02484200 Issued in NJ
Practice address
2 Sheppard Rd
Suite 100
Voorhees, NJ 08043-4787
Phone
(856) 751-6546
NPI assigned
Sep 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI02484200 NJ Primary
General Practice Dentistry 1223G0001X DS038844 PA

Addresses

Primary practice location

2 Sheppard Rd
Suite 100
Voorhees, NJ 08043-4787

Mailing address

2 Sheppard Rd
Suite 100
Voorhees, NJ 08043-4787
Phone (856) 751-6546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160519001219 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7113216805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI02484200NJMDGeneral Practice Dentistry
DS038844PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1669755633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHEPPARD RD",
            "address_2": "SUITE 100",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434787",
            "telephone_number": "856-751-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHEPPARD RD",
            "address_2": "SUITE 100",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434787",
            "telephone_number": "856-751-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUD",
        "first_name": "NATALIA",
        "middle_name": "SOPHIA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI02484200",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.