DR. JOHN W HUDSON DDS NPI 1922020379

NPI Information

NPI: 1922020379
Provider Name: DR. JOHN W HUDSON, DDS
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1930 ALCOA HWY
STE 335
KNOXVILLE, TN
ZIP 37920
Phone: (865) 544-9021

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NPI Details

DR. John W Hudson, DDS is an oral maxillofacial surgery in Knoxville, TN. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. John W Hudson, DDS NPI is 1922020379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1930 ALCOA HWY
STE 335
KNOXVILLE, TN
ZIP 37920-500
Phone: (865) 544-9021
Fax: (865) 544-9565

The NPI 1922020379 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

X-ray of lower jaws, upper jaws and teeth (HCPCS:70355)

The enumeration date for this NPI number is 7/24/2006 and was last updated on 4/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DS006030	TENNESSEE	No
2	204E00000X	Oral & Maxillofacial Surgery		2901014026	MICHIGAN	No
3	207PE0005X	Emergency Medicine	Undersea and Hyperbaric Medicine	CERTIFICATE	CALIFORNIA	No
4	2083P0011X	Preventive Medicine	Undersea and Hyperbaric Medicine	CERTIFICATE	CALIFORNIA	No
5	204E00000X	Oral & Maxillofacial Surgery		DS006030	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0005113	OTHER	IOWA	ASSURANT EMPLOYEE BENEFIT
2	T74350	MEDICARE UPIN
3	732022	OTHER	UTAH	DENTAL BEN. PROV. OFFC 2
4	1211270	OTHER	TENNESSEE	CIGNA DENTAL DMO OFFC 1
5	199846	OTHER	TENNESSEE	CIGNA DENTAL PPO OFFC3
6	TN0102	OTHER	TENNESSEE	AMERICHOICE TENNCARE O-1
7	DS006030	OTHER	TENNESSEE	LICENSE
8	3224723	MEDICAID	TENNESSEE
9	TN0104	OTHER	TENNESSEE	AMERICHOICE TENNCARE O-3
10	199845	OTHER	TENNESSEE	CIGNA DENTAL DMO OFFC 2
11	0015837	OTHER		BLUE CROSS BLUE SHIELD
12	64777451	OTHER	KENTUCKY	KENTUCKY MEDICAID
13	732021	OTHER	UTAH	DENTAL BEN. PROV. OFFC 1
14	732023	OTHER	UTAH	DENTAL BEN. PROV. OFFC 3
15	199846	OTHER	TENNESSEE	CIGNA DENTAL DMO OFFC 3
16	199845	OTHER	TENNESSEE	CIGNA DENTAL PPO OFFC 2
17	TN0103	OTHER	TENNESSEE	AMERICHOICE TENNCARE O-2
18	3224723	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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