Tara L Hudson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

8544 Issued in WA

Practice address

1622 Grove St
Marysville, WA 98270-4302

Phone

(360) 659-5611

Fax

(360) 653-9577

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Tara Hudson DDS PC

  • General Practice Dentistry
  • Marysville, WA
  • NPI 1750477857
  NPD (past) Authorized official
• M Virk DMD, PLLC

  • Dentist
  • Marysville, WA
  • NPI 1629706502
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871689950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 GROVE ST",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704302",
            "telephone_number": "360-659-5611",
            "fax_number": "360-653-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 GROVE ST",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704302",
            "telephone_number": "360-659-5611",
            "fax_number": "360-653-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "TARA",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "8544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5041280",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Meghan Howell, RN, LPCC, LMHC
• Wei-Jen Hsieh
• Hsue,Park&Ghorbanian PLLC
• Tamara Jo Huckabone
• Josiah Edward Hudson
• Eric Robert Hughes, ND
• Kathleen Ann Hughes, MD
• Shane Hurley
• Daniel H. Hwang, DMD
• Hyodoleemagelsenyi III, PLLC

• Dentist in Marysville, WA
• Providers in Marysville, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.