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DR. BRUCE EDWARD RINGDAHL DDS
NPI 1023129624
Dentist - Periodontics in Columbia, MO

Active since August 31, 2006Opted out of Medicare · through Jan 26, 2027
201 W BROADWAY, COLUMBIA, MO 65203(573) 443-1618 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bruce Edward Ringdahl Dds NPPES

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

DR. BRUCE EDWARD RINGDAHL DDS (NPI 1023129624) is an individual periodontics provider in Columbia, Missouri, licensed in Missouri (015061) and active in the NPI registry since August 2006. He has opted out of Medicare through January 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023129624
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BRUCE EDWARD RINGDAHLCredential: DDS
Location Address201 W BROADWAYColumbia, MO 65203-3842
Mailing Address201 W BroadwayColumbia, MO 65203-3842 · (573) 443-1618
Phone(573) 443-1618
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023129624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MO · 015061
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
201 W BROADWAY, Columbia, MO 65203
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Bruce Edward Ringdahl Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 26, 2017 through January 26, 2027.

Opt-Out Effective DateJanuary 26, 2017
Opt-Out In Effect ThroughJanuary 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65203 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 20

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

KARMEN BENNETT ME.D.
Counselor (Professional)
201 W BROADWAY, BLDG. 3, SUITE I
COLUMBIA, MO 65203
Boone County (573) 214-0436
EMILY PAULSEN MA, PLPC
Counselor (Mental Health)
201 W BROADWAY, BUILDING 2 SUITE F
COLUMBIA, MO 65203
Boone County (573) 214-0436
JOANN SCHUMER MD
Pediatrics
201 W BROADWAY
COLUMBIA, MO 65203
Boone County (573) 443-0937
FRANCIS J. OTRADOVEC, DDS PC
Dentist (Periodontics)
201 W BROADWAY, BLD 5
COLUMBIA, MO 65203
Boone County (573) 443-0593
KIM BOWMAN LPC
Counselor (Mental Health)
201 W BROADWAY, BLDG. 3, SUITE I
COLUMBIA, MO 65203
Boone County (573) 214-0436
ROBERT E. FRAZIER MD PC
Psychiatry & Neurology (Psychiatry)
201 W BROADWAY, SUITE 2-D
COLUMBIA, MO 65203
Boone County (573) 443-1508
MYRIAM CRISTINA YAFAR ENSLING MD
Internal Medicine
201 W BROADWAY, BUILDING 2 STE. A
COLUMBIA, MO 65203
Boone County (573) 442-2083
DR. MARIA A COFFMAN DO
Neuromusculoskeletal Medicine & OMM
201 W BROADWAY, SUITE 2E HANDS ON HEALTH
COLUMBIA, MO 65203
Boone County (573) 256-1331

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 Ringdahl's NPI number?

The NPI number for Bruce Ringdahl is 1023129624. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Bruce Ringdahl located?

Bruce Ringdahl practices at 201 W Broadway, Columbia, MO 65203. The listed phone number is (573) 443-1618.

What is Bruce Ringdahl's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Bruce Ringdahl enrolled in Medicare?

No. Bruce Ringdahl has opted out of Medicare through January 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bruce Ringdahl 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.