Bryan Michael Horak, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DDS-09327 Issued in IA

Practice address

1400 10TH Ave SW
Waverly, IA 50677-3752

Phone

(319) 352-5222

NPI assigned

Sep 1, 2016

Sex

Male

Sole proprietor

No

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 IA

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.

• Heritage Dental LLC

  • General Practice Dentistry
  • Waverly, IA
  • NPI 1154574846
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1831645548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 4TH ST SW APT 10",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "50677",
            "telephone_number": "319-360-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 10TH AVE SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773752",
            "telephone_number": "319-352-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAK",
        "first_name": "BRYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Hilmer, ARNP, FNP-C
• Angela Christine Hjelmeland
• Bradley David Hjelmeland, LISW IADC
• Emily Suzanne Hogle, PT, DPT
• Leeann Hoodjer
• Timothy C Horrigan, MD
• Kimberly Hotz, PHARMD
• Rae Gene Hovenga, NURSE PRACTITIONER
• Brooke Leigh Hovland
• Kayla Marie Hubbard, PT, DPT

• Dentist in Waverly, IA
• Providers in Waverly, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.