Bradley Lynn Hruby, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M916 Issued in SD

Practice address

101 Peabody Dr
Suite #3
Webster, SD 57274-1061

Phone

(605) 345-3000

Fax

(605) 345-3001

NPI assigned

Sep 27, 2006

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 SD

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Hruby Dental PC

  • General Practice Dentistry
  • Webster, SD
  • NPI 1649471962
  NPD (past) Authorized official
• Nathaniel M Miller DDS PC

  • General Practice Dentistry
  • Webster, SD
  • NPI 1427317627
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346331097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "WEBSTER",
            "state": "SD",
            "postal_code": "572740088",
            "telephone_number": "605-345-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PEABODY DR",
            "address_2": "SUITE #3",
            "city": "WEBSTER",
            "state": "SD",
            "postal_code": "572741061",
            "telephone_number": "605-345-3000",
            "fax_number": "605-345-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRUBY",
        "first_name": "BRADLEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Jean Grewe, OT
• Cheryl Hairgrove, PAC
• Ruth A Hernandez, RN, DNP, AANP-C
• Janet A Holm, SPEECH THERAPIST
• Hruby Dental PC
• Kyle Hubsch, DPT, ATC
• Krege Family Chiropractic,PC
• Rob D Krege, DC
• Kwasniewski Enterprises Inc
• Robert Francis Kwasniewski, PHARMD, R.PH.

• General Practice Dentistry in Webster, SD
• Providers in Webster, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.