Active NPI
James Michael Hudson, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Decatur, IL
National Provider Identifier
1831192558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Practice address
- 2 N Country Club Rd
Ste 1
Decatur, IL 62521-4173 - Phone
- (217) 429-7070
- Fax
- (217) 429-7189
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | IL | Primary |
Addresses
Primary practice location
2 N Country Club Rd
Ste 1
Decatur, IL 62521-4173
Mailing address
2 N Country Club Rd
Ste 1
Decatur, IL 62521-4173
Phone (217) 429-7070
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 |
|---|---|---|---|
| 019019517 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831192558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 N COUNTRY CLUB RD",
"address_2": "STE 1",
"city": "DECATUR",
"state": "IL",
"postal_code": "625214173",
"telephone_number": "217-429-7070",
"fax_number": "217-429-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 N COUNTRY CLUB RD",
"address_2": "STE 1",
"city": "DECATUR",
"state": "IL",
"postal_code": "625214173",
"telephone_number": "217-429-7070",
"fax_number": "217-429-7189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.