Kristie Eileen Judson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43698 Issued in CA

Practice address

1436 Cedarwood LN Ste C
Pleasanton, CA 94566-6150

Phone

(925) 462-1990

NPI assigned

Jan 6, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Andre & Judson Dental Corporation

  • General Practice Dentistry
  • Pleasanton, CA
  • NPI 1023312105
  NPD (past)

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1952605818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 CEDARWOOD LN STE C",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666150",
            "telephone_number": "925-462-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 CEDARWOOD LN STE C",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666150",
            "telephone_number": "925-462-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDSON",
        "first_name": "KRISTIE",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43697",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Journey to New Beginnings
• Arash Omid Jouzdani
• Christina Noelle Jow, BA
• CHI Juan
• Sandra Juarez
• Barbara Jean Julier, MD
• Elmer Alagao Jumig, MD
• Catherine Jung
• David J Jupina, M.D.
• Jyothi Sarma MD

• General Practice Dentistry in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.