Active NPI
Brian Struby, D.D.S.
- Dentist
- Reno, NV
National Provider Identifier
1154357697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4854
- Practice address
- 9598 Prototype CT Ste a
Reno, NV 89521-3950 - Phone
- (775) 852-8181
- Fax
- (775) 852-8199
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5514-015 | WI | |
| Dentist | 122300000X | 4854 | NV | Primary |
Addresses
Primary practice location
9598 Prototype CT Ste a
Reno, NV 89521-3950
Mailing address
8489 Fairway Chase TRL
Reno, NV 89523-4869
Phone (775) 747-0476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5514-015 | WI | MD | General Practice Dentistry |
| 4854 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1154357697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8489 FAIRWAY CHASE TRL",
"city": "RENO",
"state": "NV",
"postal_code": "895234869",
"telephone_number": "775-747-0476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9598 PROTOTYPE CT STE A",
"city": "RENO",
"state": "NV",
"postal_code": "895213950",
"telephone_number": "775-852-8181",
"fax_number": "775-852-8199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRUBY",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "5514-015",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "4854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.