Individual provider Active NPI

Heather T. Hudkins, D.D.S

  • Dentist
  • Branson, MO
National Provider Identifier
1740395441
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2001013203 Issued in MO
Practice address
714 Hwy 248
515
Branson, MO 65616
Phone
(417) 883-5866
Fax
(417) 883-5898
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2001013203 MO Primary

Addresses

Primary practice location

714 Hwy 248
515
Branson, MO 65616

Mailing address

1531 E Sunshine St Ste E10
Springfield, MO 65804-1237
Phone (417) 883-5866

Other identifiers 1

IdentifierTypeStateIssuer
405284514MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2001013203MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Branson Kids Dental LLC CurrentSince May 11, 2025 Accepting new patients
Branson Pediatric Dental LLC PastSince Apr 20, 2025 Accepting new patients
Heather T Hudkins DDS PC Past Accepting new patients

Locations

714 State Highway 248
Ste 515
Branson, MO 65616
Phone (417) 336-4233

1531 E Sunshine St
Ste E10
Springfield, MO 65804
Phone (417) 883-5866

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1740395441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 E SUNSHINE ST STE E10",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041237",
            "telephone_number": "417-883-5866",
            "fax_number": "417-883-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 HWY 248",
            "address_2": "515",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "65616",
            "telephone_number": "417-883-5866",
            "fax_number": "417-883-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDKINS",
        "first_name": "HEATHER",
        "middle_name": "T.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2001013203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405284514",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.