Brian J Hudec, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00203483 Issued in CO

Practice address

15509 Madison Ave
Cleveland, OH 44107-4023

Phone

(216) 226-8750

NPI assigned

Feb 20, 2017

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 OH

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.

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.

• BJH Dental Associates LLC

  • Dental Clinic/Center
  • Cleveland, OH
  • NPI 1104485192
  NPD (past) Authorized official

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1780123042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15509 MADISON AVENUE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "44107",
            "telephone_number": "216-226-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15509 MADISON AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441074023",
            "telephone_number": "216-226-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17200 E Iliff Ave Ste A7",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800135804",
            "country_code": "US",
            "telephone_number": "303-337-0464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDEC",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-20",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00203483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine M Hudak, CNP
• Jennifer Lynn Hudak, MSN
• Nicole Hudak, AUD
• Christina A Huddleston, MS, RD, LD
• Hudec Dental Center of Middleburg Heights, Inc.
• David E Hudec, DDS
• John A Hudec, DDS
• Justin Hudecek
• Hudepohl Family Dentistry LLC
• Scott Jerome Hudepohl, D.D.S.

• Dentist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.