Andrew Roger Bruening, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2014016766 Issued in MO

Practice address

130 Hilltown Village Ctr
Chesterfield, MO 63017-0709

Phone

(636) 532-3311

Fax

(636) 532-2001

NPI assigned

Jun 4, 2014

Last updated

Jun 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrew R. Bruening DDS, LLC

  • General Practice Dentistry
  • Chesterfield, MO
  • NPI 1962890319
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1083027379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HILLTOWN VILLAGE CTR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170709",
            "telephone_number": "636-532-3311",
            "fax_number": "636-532-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HILLTOWN VILLAGE CTR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170709",
            "telephone_number": "636-532-3311",
            "fax_number": "636-532-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUENING",
        "first_name": "ANDREW",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2014016766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lynn Brown, OTRL CHT
• Steven M Brown, M.D.
• Suzanne Michele Bruce, PT
• Michelle Jacqueline Brueggemann, MPT
• Bruening Dental LLC (Chesterfield Woodlake Dental)
• Carissa Bruening, D.D.S.
• Kimberly A Brune Shrum, NP-C
• Neal Brunkhorst, CRNA
• Tina Brunsmann, OTR
• Debra Kay Bryant, BCBA

• General Practice Dentistry in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.