Thomas P Judd DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12011153A Issued in IN

Legal business name

THOMAS P JUDD DDS LLC

Practice address

201 Pringle Dr
Goshen, IN 46526-1419

Phone

(574) 533-7621

Fax

(574) 533-1072

NPI assigned

Nov 26, 2017

Last updated

Nov 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Phillip Judd, DDS

Title

Dentist

Phone

(574) 533-7621

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Thomas Judd, DDS

  • General Practice Dentistry
  • Goshen, IN
  • NPI 1508969916
  NPD (past)

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

{
    "created_epoch": "1511654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1801300082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PRINGLE DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261419",
            "telephone_number": "574-533-7621",
            "fax_number": "574-533-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PRINGLE DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261419",
            "telephone_number": "574-533-7621",
            "fax_number": "574-533-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS P JUDD DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-26",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "574-533-7621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12011153A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1952565772",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Taylor, LSW
• Marlene Taylor, RPH
• Cassie Marie Thain, PHARMD, RPH
• The Window, Inc. (Meals on Wheels of Goshen)
• Anne Thiel, ND
• David Thomas
• April Thompson, MA
• Karla Patricia Thut, LCSW
• Timothy Dwayne Thut, M.D.
• Tina D. Weldy, Mental Health Counseling

• Dental Clinic/Center in Goshen, IN
• Providers in Goshen, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.