Cruz General Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

054191 Issued in NY

Legal business name

CRUZ GENERAL DENTISTRY, PC

Practice address

5217 S Salina St
Syracuse, NY 13205-3019

Phone

(315) 469-1712

NPI assigned

Jul 6, 2014

Organization subpart

No

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

Authorized official

Name

Mireille Cruz, DMDNPI 1316113681

Title

President

Phone

(315) 469-1712

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mireille Cruz, DMD

  • General Practice Dentistry
  • Camillus, NY
  • NPI 1316113681
  NPD (past) Authorized official

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

{
    "created_epoch": "1404604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404604800000",
    "number": "1013323583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5217 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132053019",
            "telephone_number": "315-469-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132053019",
            "telephone_number": "315-469-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUZ GENERAL DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-06",
        "last_updated": "2014-07-06",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MIREILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-469-1712",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew David Crowley
• Ashley Elizabeth Crumb, NURSE PRACTITIONER
• Donald A. Crumb, DDS
• Jameson E. Crumb, P.S.
• Cruse J. Howe, D.C.,P.C
• Beverly Cruz
• Nelson L Cruz, LPN
• Stephanie Marie Cruz, LPN
• Mark James Crye, MD
• Alex Crysler

• General Practice Dentistry in Syracuse, NY
• Providers in Syracuse, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.