Individual provider Active NPI

Thomas Del Bruss, DDS

  • General Practice Dentistry
  • Minneapolis, MN
National Provider Identifier
1689741951
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8665 Issued in MN
Practice address
4201 Minnehaha Ave So
Minneapolis, MN 54406-3303
Phone
(612) 721-2833
Fax
(612) 721-4356
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8665 MN Primary

Addresses

Primary practice location

4201 Minnehaha Ave So
Minneapolis, MN 54406-3303

Mailing address

4201 Minnehaha Ave So
Minneapolis, MN 54406-3303
Phone (612) 721-2833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Honeycomb Dentistry General Practice PastSince Nov 28, 2021 Accepting new patients
Schulhof Honeycomb PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689741951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MINNEHAHA AVE SO",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "544063303",
            "telephone_number": "612-721-2833",
            "fax_number": "612-721-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MINNEHAHA AVE SO",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "544063303",
            "telephone_number": "612-721-2833",
            "fax_number": "612-721-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSS",
        "first_name": "THOMAS",
        "middle_name": "DEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.