DR. KEITH ALLEN HUDSON (NPI# 1619921459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619921459 |
| Entity Type | Individual |
| Full Name | DR. KEITH ALLEN HUDSON |
| Credential | DDS |
| Practice Address |
31000 Lahser Rd Suite 7 Beverly Hills MI 48025-4847 |
| Practice Telephone | 2485309812 |
| Practice Fax Number | 2485309815 |
| Mailing Telephone | 2485309812 |
| Mailing Fax Number | 2485309815 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
015250 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528274990 | Keith L. Hudson | Counselor | 405 Briarwood Dr, Ste. 106e, Jackson, MS 39206-3052 | 2007-05-15 |
| 1538209382 | Keith C Hudson | Dentist | 5232 Colleyville Blvd, Colleyville, TX 76034-1227 | 2007-02-08 |
| Street Address |
31000 LAHSER RD SUITE 7 |
| City | BEVERLY HILLS |
| State | MI |
| Zip Code | 48025-4847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952678708 | Joseph Salama, Md PC | Orthopaedic Surgery | 31000 Lahser Rd, Suite 2, Beverly Hills, MI 48025-4847 | 2011-11-22 |
| 1700089653 | Byram Healthcare Centers, Inc. | Durable Medical Equipment & Medical Supplies | 31000 Lahser Rd, Suite 6, Beverly Hills, MI 48025-4847 | 2007-06-07 |
| 1831230705 | Jon Fibeger | Physical Therapist | 31000 Lahser Rd, Suite 1, Beverly Hills, MI 48025-4847 | 2007-02-12 |
| 1194861302 | Annikki M Kurvi | Social Worker | 31000 Lahser Rd, Ste 6, Beverly Hills, MI 48025 | 2007-01-29 |
| 1477601136 | Integrated Physical Therapy, Inc. | Physical Therapist | 31000 Lahser Rd, Suite 1, Beverly Hills, MI 48025-4847 | 2007-01-08 |
| 1407930951 | Cathleen Marie Nagle | Physical Therapist | 31000 Lahser Rd, Suite 1, Beverly Hills, MI 48025-4847 | 2006-10-24 |
| 1912097247 | Janavice Ann Mackenzie | Physical Therapist | 31000 Lahser Rd, Suite 1, Beverly Hills, MI 48025-4847 | 2006-10-16 |
| 1255348439 | Joseph Salama | Orthopaedic Surgery | 31000 Lahser Rd, Suite 2, Beverly Hills, MI 48025-4847 | 2006-08-01 |
| 1124044037 | Elaine Marilynn Swenson | Psychologist | 31000 Lahser Rd, Suite 8, Beverly Hills, MI 48025-4847 | 2006-07-14 |
| 1144261892 | Sandra Faye Johnson | Social Worker | 31000 Lahser Rd, Suite 8, Beverly Hills, MI 48025-4847 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541826 | Joshua Danoush | Dentist | 124 N Clark Dr Apt 301, Beverly Hills, CA 90211-1737 | 2020-09-01 |
| 1356951792 | Lauren Povitz | Dentist | 9735 Wilshire Blvd Ste 320, Beverly Hills, CA 90212-2111 | 2020-07-31 |
| 1538643390 | Eugene Alexander Goncharov | Dentist | 8950 W Olympic Blvd Ste 262, Beverly Hills, CA 90211-3565 | 2018-09-18 |
| 1942788377 | Michael M Kerendian | Dentist | 9794 Donington Pl, Beverly Hills, CA 90210-1103 | 2018-07-28 |
| 1992221527 | Victor Chan Wong | Dentist | 450 N Bedford Dr Ste 209, Beverly Hills, CA 90210-4306 | 2017-08-15 |
| 1235663642 | Sam Baradaran | Dentist | 8641 Wilshire Blvd Ste 125, Beverly Hills, CA 90211-2945 | 2017-04-13 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1356736060 | Mkhail Keselbrener | Dentist | 9025 Wilshire Blvd Ste 305, Beverly Hills, CA 90211-1827 | 2015-03-30 |
| 1093106627 | Lr Rifkin A Professional Corp | Dentist | 414 N Camden Dr Ste 1280, Beverly Hills, CA 90210-4512 | 2015-02-18 |
| 1164827721 | Shirin Shahedi | Dentist | 328 S Elm Drive, Beverly Hills, CA 90212 | 2014-10-24 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 48025 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.