BRUCE W RICHARDSON D.D.S.
NPI 1306959424
Dentist - Periodontics in Meridian, ID

Q: What is Bruce Richardson's NPI number?

The NPI number for Bruce Richardson is 1306959424. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Bruce Richardson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bruce Richardson 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 August 15, 2006PECOS Enrolled

317 W CHERRY LN, MERIDIAN, ID 83642(208) 888-2055 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 Bruce W Richardson D.d.s. NPPES

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

BRUCE W RICHARDSON D.D.S. (NPI 1306959424) is an individual periodontics provider in Meridian, Idaho, licensed in Idaho (D3443PE) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306959424

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameBRUCE W RICHARDSONCredential: D.D.S.

Location Address317 W CHERRY LNMeridian, ID 83642-1608

Mailing Address3171 W Deerfield CtEagle, ID 83616-2343 · (208) 841-9009

Phone(208) 888-2055

Sole ProprietorNo

Enumeration DateAugust 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306959424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in ID · D3443PE

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.

317 W CHERRY LN, Meridian, ID 83642

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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)

Bruce W Richardson D.d.s. 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 83642 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

DR. MARIVIN OTO DDS

Dentist (General Practice)