DR. DAVID HARRISON HUDSON DMD MS
NPI 1275294670
Dentist - Orthodontics and Dentofacial Orthopedics in Springfield, IL

Active since January 07, 2022Opted out of Medicare · through Jan 15, 2027
997 CLOCK TOWER DR, SPRINGFIELD, IL 62704(217) 546-9600 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Harrison Hudson Dmd Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID HARRISON HUDSON DMD MS (NPI 1275294670) is an individual orthodontics and dentofacial orthopedics provider in Springfield, Illinois, licensed in Illinois (021.003156) and active in the NPI registry since January 2022. He has opted out of Medicare through January 15, 2027.

NPPES Registry Identity

NPI1275294670
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. DAVID HARRISON HUDSONCredential: DMD MS
Location Address997 CLOCK TOWER DRSpringfield, IL 62704-1301
Mailing Address997 Clock Tower DrSpringfield, IL 62704-1301 · (217) 546-9600
Sole ProprietorNo
Enumeration DateJanuary 7, 2022
NPPES CertifiedJanuary 3, 2022
NPI 1275294670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in IL · 021.003156
Definition
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.
997 CLOCK TOWER DR, Springfield, IL 62704

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. David Harrison Hudson Dmd Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 15, 2025 through January 15, 2027.

Opt-Out Effective DateJanuary 15, 2025
Opt-Out In Effect ThroughJanuary 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
997 CLOCK TOWER DR, SUITE B
SPRINGFIELD, IL 62704
Dentist
997 CLOCK TOWER DR
SPRINGFIELD, IL 62704
Dentist
997 CLOCK TOWER DR
SPRINGFIELD, IL 62704
Clinic/Center (Dental)
997 CLOCK TOWER DR
SPRINGFIELD, IL 62704
Dentist (General Practice)
997 CLOCK TOWER DR
SPRINGFIELD, IL 62704
Dentist (Orthodontics and Dentofacial Orthopedics)
997 CLOCK TOWER DR
SPRINGFIELD, IL 62704
Dentist (Orthodontics and Dentofacial Orthopedics)
997 CLOCK TOWER DR, SUITE B
SPRINGFIELD, IL 62704
Dentist (General Practice)
997 CLOCK TOWER DR, SUITE D
SPRINGFIELD, IL 62704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Hudson's NPI number?

The NPI number for David Hudson is 1275294670. It was assigned to this individual provider in the NPPES registry on January 7, 2022.

Where is David Hudson located?

David Hudson practices at 997 Clock Tower Dr, Springfield, IL 62704. The listed phone number is (217) 546-9600.

What is David Hudson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is David Hudson enrolled in Medicare?

No. David Hudson has opted out of Medicare through January 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for David Hudson was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.