HILLARIE RYANN HUDSON (NPI# 1609114222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609114222 |
| Entity Type | Individual |
| Full Name | HILLARIE RYANN HUDSON |
| Credential | DMD MSD |
| Practice Address |
2 N Country Club Rd Suite 1 Decatur IL 62521-4161 |
| Practice Telephone | 2174297070 |
| Practice Fax Number | 2174297189 |
| Mailing Telephone | 2174297070 |
| Mailing Fax Number | 2174297189 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
019027719 | IL | Dental Providers |
| Street Address |
2 N COUNTRY CLUB RD SUITE 1 |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-4161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192558 | James Michael Hudson | Dentist | 2 N Country Club Rd, Ste 1, Decatur, IL 62521-4173 | 2005-05-27 |
| 1962600551 | Karen Lamb | Physical Therapist | 2 N Country Club Rd, Suite 3, Decatur, IL 62521-4161 | 2007-07-05 |
| 1801910062 | Midwest Healthcare Center Sc | Chiropractor | 2 N Country Club Rd, Suite 3, Decatur, IL 62521-4161 | 2007-03-16 |
| 1568436624 | Brian David Penwell | Chiropractor | 2 N Country Club Rd, Suite 3, Decatur, IL 62521-4161 | 2006-02-15 |
| 1952375222 | Nancy L Penwell | Chiropractor | 2 N Country Club Rd, Suite 3, Decatur, IL 62521-4161 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033608971 | John Anderson Clinebell | Dentist | 3732 Lavista Rd, Decatur, GA 30033-1006 | 2018-05-07 |
| 1013418201 | Clark Clayton Browne Jr. | Dentist | 1815 Somerville Rd Se, Decatur, AL 35601-5015 | 2018-02-23 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1306969514 | Lew B. Sample | Dentist | 2014 Danville Park Dr Sw, Decatur, AL 35603-1832 | 2007-04-10 |
| 1396808218 | John A. Clinebell, D.d.s., M.s., P.C. | Dentist | 3744 Lavista Rd, Suite A, Decatur, GA 30033-1006 | 2006-12-19 |
| 1023189206 | Mary Lynn Crews | Dentist | 1989 N Williamsburg Dr, Suite A, Decatur, GA 30033-3509 | 2006-11-10 |
| 1316028244 | Penny Lee Taylor | Dentist | 2514 Danville Rd Sw, Decatur, AL 35603-4213 | 2006-10-18 |
| 1013098045 | Catherine E. Cavanaugh | Dentist | 1353 E Mound Rd Ste 203, Decatur, IL 62526-3680 | 2006-10-18 |
| 1104912237 | Daniel C. Mallory | Dentist | 2250 South Fm 51, Suite 800, Decatur, TX 76234-3771 | 2006-10-05 |
| Find all providers in DECATUR | ||||
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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.