Individual provider Active NPI

Julie A Hodge, DDS, MS

  • Dentist
  • Glendale, AZ
National Provider Identifier
1881029650
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D010638 Issued in AZ
Practice address
20280 N 59TH Ave Ste 104
Glendale, AZ 85308-6846
Phone
(480) 448-0888
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D010638 AZ Primary

Addresses

Primary practice location

20280 N 59TH Ave Ste 104
Glendale, AZ 85308-6846

Mailing address

20280 N 59TH Ave Ste 104
Glendale, AZ 85308-6846
Phone (480) 243-5023

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D010638AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Valley Dentistry CurrentSince Apr 27, 2025 Accepting new patients
Redlands Mesa Family Dentistry Dentist PastSince Nov 24, 2019 Accepting new patients

Locations

20280 N 59th Ave
Ste 104
Glendale, AZ 85308
Phone (480) 448-0888

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1881029650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086846",
            "telephone_number": "480-243-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086846",
            "telephone_number": "480-448-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.