Individual provider Active NPI

Alex Edgardo Cruz, DMD

  • General Practice Dentistry
  • Greenville, NC
National Provider Identifier
1003659251
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13832 Issued in NC
Practice address
261 Belvoir Hwy
Greenville, NC 27834-8193
Phone
(252) 747-8162
Fax
(252) 747-8163
NPI assigned
Jun 17, 2024
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13832 NC Primary

Addresses

Primary practice location

261 Belvoir Hwy
Greenville, NC 27834-8193

Mailing address

261 Belvoir Hwy
Greenville, NC 27834-8193
Phone (252) 747-8162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20240823003609 NC Practitioner - Dentist 9234678020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greene County Health Care Incorporated CurrentSince Sep 1, 2024 Accepting new patients
Greene County Health Care Incorporated Dba Contentnea Health CurrentSince Sep 1, 2024 Accepting new patients
Greene County Health Care Incorporated Current Accepting new patients

Locations

261 Belvoir Hwy
Greenville, NC 27834
Phone (252) 695-6352

140 School Dr
Snow Hill, NC 28580
Phone (252) 747-5841

7 Professional Dr
Snow Hill, NC 28580
Phone (252) 747-2921

Networks

  • TN PPO C-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGDGDD/Endpoint/CGDGDD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1003659251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 BELVOIR HWY",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348193",
            "telephone_number": "252-747-8162",
            "fax_number": "252-747-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 BELVOIR HWY",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348193",
            "telephone_number": "252-747-8162",
            "fax_number": "252-747-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ALEX",
        "middle_name": "EDGARDO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.