Hruby Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M916 Issued in SD

Legal business name

HRUBY DENTAL PC

Practice address

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

Phone

(605) 345-3000

Fax

(605) 345-3001

NPI assigned

May 31, 2007

Reactivated

Nov 7, 2012

Last updated

Nov 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradley Lynn HrubyNPI 1346331097

Title

Dentist

Phone

(605) 345-3000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Lynn Hruby, D.D.S.

  • General Practice Dentistry
  • Webster, SD
  • NPI 1346331097
  NPD (past) Authorized official

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1649471962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "HRUBY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2012-11-07",
        "deactivation_date": "2012-05-09",
        "reactivation_date": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "HRUBY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "605-345-3000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth J Gravley, M.D.
• Melissa Jean Grewe, OT
• Cheryl Hairgrove, PAC
• Ruth A Hernandez, RN, DNP, AANP-C
• Janet A Holm, SPEECH THERAPIST
• Bradley Lynn Hruby, D.D.S.
• Kyle Hubsch, DPT, ATC
• Krege Family Chiropractic,PC
• Rob D Krege, DC
• Kwasniewski Enterprises Inc (Cornwell Drug)

• 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 Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.