Heather Nicole Hruskocy, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

019.029810 Issued in IL

Practice address

1089 Conway Rd
Lake Forest, IL 60045-2617

Phone

(224) 416-3780

NPI assigned

Jul 24, 2014

Last updated

Jun 30, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 17, 2017 through Jan 17, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Heather Hruskocy DMD PC

  • Dentist
  • Lake Forest, IL
  • NPI 1639805138
  NPD Authorized official

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1578971339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 CONWAY RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452617",
            "telephone_number": "224-416-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 CONWAY RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452617",
            "telephone_number": "224-416-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRUSKOCY",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Anne Hopkins Gil, MD
• Horsefeathers
• Rebecca Gamble Houglum, P.A.
• Michael A. Howard, MD
• Natia N Howard, PA-C
• Corryn Hrycyk, OTR/L
• Xin(Hannah) Hu
• Tanya A Huang, M.D.
• Michael J Hubbell, M.D.
• David Frank Hulata, MD

• Dentist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.