Jennifer Park-Cruz, DR

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51126 Issued in CA

Practice address

2975 Wilshire Blvd Ste 400
Los Angeles, CA 90010-1132

Phone

(213) 385-0053

NPI assigned

Jan 17, 2017

Sex

Female

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 and National Provider Directory roles.

• Jennifer R. Park-Cruz Dental Corporation

  dba Wilshire Dental Group

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1396933289
  NPD (past) Authorized official

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1073059861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 WILSHIRE BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101132",
            "telephone_number": "213-385-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 WILSHIRE BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101132",
            "telephone_number": "213-385-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK-CRUZ",
        "first_name": "JENNIFER",
        "credential": "DR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Parisi, DO, MFT
• Parivash Kashani CHT (Westwood Hills Hand Therapy)
• Park & Park Chiropractic Apc (CareOne Spinal Center)
• Park Lane Global Inc. (Provicare)
• Park Professional Dental Corp (Smile Dental of Los Angeles)
• Ellen Park-Nakashima, LCSW
• Esther Park-Weston
• Aaron Park, DPT
• Alane Park, M.D.
• Alexandra Park

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.