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LYDIA JULIANNA BRUCE DDS
NPI 1104494061
Dentist in Wichita, KS

Active since June 16, 2021PECOS Enrolled
527 N GROVE ST, WICHITA, KS 67214(316) 262-2415 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lydia Julianna Bruce Dds NPPES

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

LYDIA JULIANNA BRUCE DDS (NPI 1104494061) is an individual dentist in Wichita, Kansas, licensed in Kansas (61864) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104494061
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameLYDIA JULIANNA BRUCECredential: DDS
Location Address527 N GROVE STWichita, KS 67214-4520
Mailing Address3944 N Rushwood StWichita, KS 67226-2427 · (405) 564-8849
Phone(316) 262-2415
Sole ProprietorYes
Enumeration DateJune 16, 2021
NPPES CertifiedJune 14, 2021
✔ NPI 1104494061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in KS · 61864
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.
527 N GROVE ST, Wichita, KS 67214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Julianna Bruce 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 67214 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

ASHLYN RILEY LMSW
Social Worker
527 N GROVE ST
WICHITA, KS 67214
Sedgwick County (316) 262-2415
KATELYN HANSEN PA-C
Physician Assistant
527 N GROVE ST
WICHITA, KS 67214
Sedgwick County (316) 262-2415
SYDNEY DENNEY LMSW
Social Worker
527 N GROVE ST
WICHITA, KS 67214
Sedgwick County (316) 262-2415
DR. THALIA J LOPEZ MD
Obstetrics & Gynecology
527 N GROVE ST
WICHITA, KS 67214
Sedgwick County (316) 262-2415
KATHERINE RENEE' BURKHART PA-C
Physician Assistant
527 N GROVE ST
WICHITA, KS 67214
Sedgwick County (316) 262-2415
ZACHARY CARL KUHLMANN DO
Obstetrics & Gynecology
527 N GROVE ST
WICHITA, KS 67214
Sedgwick County (316) 262-2415
SUSAN RENEE STEINFELDT NP
Nurse Practitioner
527 N GROVE ST
WICHITA, KS 67214
Sedgwick County (316) 262-2415
EMMA RACHELLE WILLIAMS
Physician Assistant
527 N GROVE ST
WICHITA, KS 67214
Sedgwick County (316) 262-2415

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 Lydia Bruce's NPI number?

The NPI number for Lydia Bruce is 1104494061. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Lydia Bruce located?

Lydia Bruce practices at 527 N Grove St, Wichita, KS 67214. The listed phone number is (316) 262-2415.

What is Lydia Bruce's specialty?

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

Is Lydia Bruce enrolled in Medicare?

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

What insurance does Lydia Bruce accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 10 other insurers list Lydia Bruce as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lydia Bruce was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.