DR. BRUCE ANTHONY KUDAK DDS
NPI 1801018965
Dentist in St Cloud, MN

Q: What is Bruce Kudak's NPI number?

The NPI number for Bruce Kudak is 1801018965. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Bruce Kudak's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Kudak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 02, 2007PECOS Enrolled

1500 NORTHWAY DRIVE, ST CLOUD, MN 56303(320) 253-7700(320) 253-9271 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Bruce Anthony Kudak Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRUCE ANTHONY KUDAK DDS (NPI 1801018965) is an individual dentist in St Cloud, Minnesota, licensed in Minnesota (9182) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801018965

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BRUCE ANTHONY KUDAKCredential: DDS

Location Address1500 NORTHWAY DRIVESt Cloud, MN 56303

Mailing AddressPo Box 1659St Cloud, MN 56302 · (320) 253-7700 · Fax (320) 253-9271

Phone(320) 253-7700

Fax(320) 253-9271

Sole ProprietorNo

Enumeration DateMay 2, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1801018965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · 9182

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1500 NORTHWAY DRIVE, St Cloud, MN 56303

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bruce Anthony Kudak Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DRS CATTON WOLSETH COMO & JACOBSON PA

Dentist

1500 NORTHWAY DRIVE
ST CLOUD, MN 56303

Stearns County (320) 253-7700

DR. BRENT D DERAGISCH DDS

Dentist

1500 NORTHWAY DRIVE
ST CLOUD, MN 56303

Stearns County (320) 253-7700

DR. THOMAS H COMO DDS

Dentist

1500 NORTHWAY DRIVE
ST CLOUD, MN 56303

Stearns County (320) 253-7700

DR. GARY L THOMPSON DDS

Dentist

1500 NORTHWAY DRIVE
ST CLOUD, MN 56303

Stearns County (320) 253-7700

DR. ROLF L JACOBSON DDS

Dentist

1500 NORTHWAY DRIVE
ST CLOUD, MN 56303

Stearns County (320) 253-7700

DR. AMANDA SPERL DDS

Dentist (General Practice)

1500 NORTHWAY DRIVE
SAINT CLOUD, MN 56303

Stearns County (320) 253-4778

DR. SARAH A LAYNE DDS

Dentist

1500 NORTHWAY DRIVE
ST CLOUD, MN 56303

Stearns County (320) 253-7700

JAN L. HOLTZ PH.D., L.P.

Clinical Neuropsychologist

1500 NORTHWAY DRIVE, SUITE 1
SAINT CLOUD, MN 56303

Stearns County (320) 253-4321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Kudak's NPI number?

The NPI number for Bruce Kudak is 1801018965. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Bruce Kudak located?

Bruce Kudak practices at 1500 Northway Drive, St Cloud, MN 56303. The listed phone number is (320) 253-7700.

What is Bruce Kudak's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Bruce Kudak enrolled in Medicare?

Yes. Bruce Kudak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bruce Kudak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.