Edward Huddleston III, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

053666 Issued in NY

Practice address

4417A Dewey Ave
Rochester, NY 14616-1223

Phone

(585) 663-7820

Fax

(585) 663-2101

NPI assigned

Jan 16, 2008

Last updated

Sep 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Affordable Dentures - Rochester, P.C.

  • Dentist
  • Rochester, NY
  • NPI 1447394895
  NPD (past) Authorized official

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1750567061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417A DEWEY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161223",
            "telephone_number": "585-663-7820",
            "fax_number": "585-663-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417A DEWEY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161223",
            "telephone_number": "585-663-7820",
            "fax_number": "585-663-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "EDWARD",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Ryan Huber, D.O.
• Karen Marie Huber, RN
• Cynthia Huck
• Shawna Huckell, MD
• Marlena Hucko
• Hudson Family Chiropractic, PLLC
• Ashley Hudson, LMT
• Chad A Hudson, MD PHD
• Deborah Hudson, LCSW
• Kathleen Hudson, RN

• Dentist in Rochester, NY
• Providers in Rochester, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.

Verify at the official NPI Registry.