James R. Hudson, D,D,S,

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12006201A Issued in IN

Practice address

540 Plaza Dr
Ste K
Columbus, IN 47201-2922

Phone

(812) 372-8386

NPI assigned

Jun 22, 2005

Reactivated

Mar 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1679579890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 PLAZA DR",
            "address_2": "STE K",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012922",
            "telephone_number": "812-372-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PLAZA DR",
            "address_2": "STE K",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012922",
            "telephone_number": "812-372-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JAMES",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D,D,S,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2010-12-02",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IN",
            "license": "12006201A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Howell, RBT
• Sarah Beth Hubbard, OTR
• Robyn Hubbell, LSW
• Bret R Huber, DO
• Shantal Huckaby, CRNA
• Jenna Hudson
• Sarah Hudson
• Elizabeth Huff, RBT
• Drew Hundley, D.O.
• Melinda Waitt Hunnicutt, M.D.

• Periodontics in Columbus, IN
• Providers in Columbus, IN by specialty
• Periodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.