ROY A HUDSON III DDS VANCE AVENUE DENTAL CLINIC
NPI 1063685501
Dentist - General Practice in Memphis, TN

NPI Status: Active since April 04, 2008

Contact Information

516 VANCE AVE
MEMPHIS, TN
ZIP 38126
Phone: (901) 526-4442
Fax: (901) 526-8523

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  • Organization
  • Dentist
  • General Practice

About ROY A HUDSON III DDS VANCE AVENUE DENTAL CLINIC

This page provides the complete NPI Profile along with additional information for Roy A Hudson Iii Dds Vance Avenue Dental Clinic, a provider established in Memphis, Tennessee operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1063685501 assigned on April 2008. The practitioner's primary taxonomy code is 1223G0001X with license number DS0000007059 (TN). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Roy Adrain Hudson Iii Dds (Owner/dentist)

NPI
1063685501
Provider Name
ROY A HUDSON III DDS VANCE AVENUE DENTAL CLINIC
Entity Type
Organization
Location Address
516 VANCE AVE MEMPHIS, TN 38126
Location Phone
(901) 526-4442
Location Fax
(901) 526-8523
Mailing Address
516 VANCE AVE MEMPHIS, TN 38126
Mailing Phone
(901) 526-4442
Mailing Fax
(901) 526-8523
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2008
Last Update Date
06-18-2008
Code Navigator

A dentist like Roy A Hudson Iii Dds Vance Avenue Dental Clinic is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
DS0000007059
License State
TN
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROY ADRAIN HUDSON III DDS

Authorized Official Title
OWNER/DENTIST
Authorized Official Phone
(901) 526-4442

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3202421MEDICAID (05)TN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063685501
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231281050
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 8 + 1 + 0 + 5 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1063685501 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871578518DR. ROY ADRAIN HUDSON III D.D.S.
Individual
Dentist516 VANCE AVE
MEMPHIS, TN 38126
(901) 526-4442

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063685501, enumerated in the NPI registry as an "organization" on April 04, 2008

The provider is located at 516 Vance Ave Memphis, Tn 38126 and the phone number is (901) 526-4442

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 04, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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