DR. RICHARD BRUCKNER D.D.S.
NPI 1336208453
Dentist - Oral and Maxillofacial Surgery in Simi Valley, CA

Active since December 06, 2006Opted out of Medicare · through Jan 26, 2028
2796 SYCAMORE DR, SUITE 202, SIMI VALLEY, CA 93065(805) 522-0332(805) 522-8350 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Bruckner D.d.s. NPPES

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

DR. RICHARD BRUCKNER D.D.S. (NPI 1336208453) is an individual oral and maxillofacial surgery provider in Simi Valley, California, licensed in California (32034) and active in the NPI registry since December 2006. He has opted out of Medicare through January 26, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336208453
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RICHARD BRUCKNERCredential: D.D.S.
Location Address2796 SYCAMORE DR, SUITE 202Simi Valley, CA 93065-1546
Mailing Address2796 Sycamore Dr, Suite 202Simi Valley, CA 93065-1546 · (805) 522-0332 · Fax (805) 522-8350
Fax(805) 522-8350
Sole ProprietorYes
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1336208453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 32034
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2796 SYCAMORE DR, Simi Valley, CA 93065

Accepted Insurance

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. Richard Bruckner D.d.s. 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, 2016 through January 26, 2028.

Opt-Out Effective DateJanuary 26, 2016
Opt-Out In Effect ThroughJanuary 26, 2028Opt-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 93065 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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 5

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

Clinical Medical Laboratory
2796 SYCAMORE DR, SUITE103
SIMI VALLEY, CA 93065
Dentist (General Practice)
2796 SYCAMORE DR, STE 200
SIMI VALLEY, CA 93065
Dentist (Orthodontics and Dentofacial Orthopedics)
2796 SYCAMORE DR, SUITE 201
SIMI VALLEY, CA 93065
Ophthalmology
2796 SYCAMORE DR, SUITE 101
SIMI VALLEY, CA 93065
Dentist (Periodontics)
2796 SYCAMORE DR, STE 202
SIMI VALLEY, CA 93065

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 Richard Bruckner's NPI number?

The NPI number for Richard Bruckner is 1336208453. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Richard Bruckner located?

Richard Bruckner practices at 2796 Sycamore Dr Suite 202, Simi Valley, CA 93065. The listed phone number is (805) 522-0332.

What is Richard Bruckner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Richard Bruckner enrolled in Medicare?

No. Richard Bruckner has opted out of Medicare through January 26, 2028. 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.

What insurance does Richard Bruckner accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Richard Bruckner 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 Richard Bruckner 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.