James Frederick Hulderman, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

2901600123 Issued in MI

Practice address

421 Second St
Traverse City, MI 49684-2004

Phone

(231) 922-0775

NPI assigned

Jun 5, 2019

Sex

Male

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.

• Grandview Dental Associates PLLC

  • Dental Clinic/Center
  • Traverse City, MI
  • NPI 1083373583
  NPD (past) Authorized official

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1962060764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SECOND ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842004",
            "telephone_number": "231-922-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SECOND ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842004",
            "telephone_number": "231-922-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULDERMAN",
        "first_name": "JAMES",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MI",
            "license": "2901600123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ISSUED DENTAL LICENSE",
            "identifier": "2901600123",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth L Hughes, D.O.
• Janet Lynn Hughes, MSW
• Lisa A Hughes, D.O.
• Michael Victor Hughes, DNP
• Jason Alexander Hughey
• Alexandra Hull, DPT, ATC
• Autumn Danielle Hull, P.T.
• Brent Hull, PT DPT
• Hullman Family Chiropractic, PLC
• Jason Hullman, D.C.

• Public Health Dentistry in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Public Health Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.