Joshua Daniel Bruce, JOSHUA BRUCE

Primary specialty

DentistTaxonomy code 122300000X

License

6185 Issued in OK

Practice address

1201 N Stonewall Ave
Oklahoma City, OK 73117-1214

Phone

(405) 269-6921

NPI assigned

Jun 18, 2010

Last updated

Jun 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Joshua Daniel Bruce Professional name

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dynamic Dental Center

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oklahoma City, OK
  • NPI 1730688912
  NPD Authorized official
• Highland Lakes Dental Center Inc.

  dba Schmidt and Bruce Orthodontics

  • Dental Clinic/Center
  • Rhinelander, WI
  • NPI 1548794043
  Authorized official Same address or phone
• Highland Lakes Oral Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Rhinelander, WI
  • NPI 1265285506
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1477874915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 HOLLY DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107309",
            "telephone_number": "405-269-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N STONEWALL AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171214",
            "telephone_number": "405-269-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "JOSHUA",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "JOSHUA BRUCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSHUA",
            "last_name": "BRUCE",
            "middle_name": "DANIEL",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karen Catherine Clifford Broyles, CANDIDATE FOR LPC
• Victoria Pamela Roberts Broyles, RN
• Bruce a Daniels MD PC
• Andrew Paul Bruce, MD
• Emily Adah Bruce
• Michael Louis Bruce
• Rebecca Lynn Bruce, DNP FNP PMHNP
• Reginald D Bruins, M.A.
• Peter F Brumbaugh, MD
• Lindsey Rachael Brumley, RN

• Dentist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.