Organization Active NPI

E.W.Hodgson D.D.S. P.a. Family Dentistry

  • Dental Clinic/Center
  • Melbourne, FL
National Provider Identifier
1821105909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN0009231 Issued in FL
Legal business name
E.W.HODGSON D.D.S. P.A. FAMILY DENTISTRY
Practice address
1250 W Eau Gallie Blvd
Suite a
Melbourne, FL 32935-5383
Phone
(321) 254-4488
Fax
(321) 255-3335
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Eric Ward Hodgson, D.D.S.NPI 1053428227
Title
Dentist
Phone
(321) 254-4488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN0009231 FL Primary

Addresses

Primary practice location

1250 W Eau Gallie Blvd
Suite a
Melbourne, FL 32935-5383

Mailing address

1250 W Eau Gallie Blvd
Suite a
Melbourne, FL 32935-5383
Phone (321) 254-4488

National Provider Directory

National Provider Directory

Locations

1250 W Eau Gallie Blvd
Ste A
Melbourne, FL 32935
Phone (321) 254-4488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821105909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W EAU GALLIE BLVD",
            "address_2": "SUITE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355383",
            "telephone_number": "321-254-4488",
            "fax_number": "321-255-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W EAU GALLIE BLVD",
            "address_2": "SUITE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355383",
            "telephone_number": "321-254-4488",
            "fax_number": "321-255-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.W.HODGSON D.D.S. P.A. FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "321-254-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN0009231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.