Active NPI
Eric Shawn Hudson, D.C.
- Chiropractor
- Charlotte, NC
National Provider Identifier
1780846311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3756
- Practice address
- 5736 N Tryon St
Suite 101
Charlotte, NC 28213-6850 - Phone
- (704) 605-2517
- Fax
- (704) 790-3317
- NPI assigned
- Jun 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3756 | NC | Primary |
Addresses
Primary practice location
5736 N Tryon St
Suite 101
Charlotte, NC 28213-6850
Mailing address
5736 N Tryon St
Suite 101
Charlotte, NC 28213-6850
Phone (704) 605-2517
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3756 | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1780846311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5736 N TRYON ST",
"address_2": "SUITE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282136850",
"telephone_number": "704-605-2517",
"fax_number": "704-790-3317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5736 N TRYON ST",
"address_2": "SUITE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282136850",
"telephone_number": "704-605-2517",
"fax_number": "704-790-3317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "ERIC",
"middle_name": "SHAWN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-25",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.