Oliver Silvestre Cruz, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

62551 Issued in CA

Practice address

5825 Lincoln Ave Ste H
Buena Park, CA 90620-3477

Phone

(310) 594-4902

Fax

(714) 761-7179

NPI assigned

Oct 3, 2013

Last updated

Feb 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Oliver S. Cruz, DDS, Inc.

  dba OC Dentistry

  • Dental Clinic/Center
  • Buena Park, CA
  • NPI 1194280545
  NPD (past) Authorized official
• LC Medical & Dental Center

  • Dentist
  • Buena Park, CA
  • NPI 1811140536
  NPD (past)

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1063849180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W 219TH ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452922",
            "telephone_number": "310-594-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 LINCOLN AVE STE H",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203477",
            "telephone_number": "310-594-4902",
            "fax_number": "714-761-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "OLIVER",
        "middle_name": "SILVESTRE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Reianne Ruth Balagtas Custodio
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• D&E Homes, Inc. (All American Home)
• Dana Y Phan, OD, Inc
• Dustin Villanueva Dancel, PTA

• Dentist in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.