Ronald P Crudo DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51422 Issued in CA

Legal business name

RONALD P CRUDO DMD PC

Practice address

400 S Farrell Dr
Suite B 209
Palm Springs, CA 92262-7964

Phone

(760) 327-9170

Fax

(760) 327-9171

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald P Crudo, D.M.D.

Title

President - Ceo

Phone

(760) 327-9179

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083779177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S FARRELL DR",
            "address_2": "SUITE B 209",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627964",
            "telephone_number": "760-327-9170",
            "fax_number": "760-327-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S FARRELL DR",
            "address_2": "SUITE B 209",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627964",
            "telephone_number": "760-327-9170",
            "fax_number": "760-327-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD P CRUDO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUDO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT - CEO",
        "authorized_official_telephone_number": "760-327-9179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Romero
• Jennifer Edith Romero
• Letisha Romero
• Renita Rochelle Romero, FNP
• Ronald Himelman MD
• Elena Liza Ronquillo, DPT
• Alan Michael Rooney, EDD
• Jon Root, CMT
• Estephanie Rosales
• Karla Flores Rosas

• General Practice Dentistry in Palm Springs, CA
• Providers in Palm Springs, 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 Aug 22, 2020; 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.