Organization Active NPI

Gladys Salva Cruz DDS Inc

  • Dentist
  • Lodi, CA
National Provider Identifier
1083883508
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GLADYS SALVA CRUZ DDS INC
Practice address
2314 W Kettleman LN
109
Lodi, CA 95242-4126
Phone
(209) 369-9800
Fax
(209) 369-9800
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Gladys Rivera Salva Cruz, DDSNPI 1417155813
Title
President
Phone
(408) 310-3523

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2314 W Kettleman LN
109
Lodi, CA 95242-4126

Mailing address

2314 W Kettleman LN
109
Lodi, CA 95242-4126
Phone (209) 369-9800

Other names 1

  • LODI HEALTHY SMILES Doing business as

National Provider Directory

National Provider Directory

Locations

2314 W Kettleman Ln
Ste 109
Lodi, CA 95242
Phone (209) 369-9800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1083883508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 W KETTLEMAN LN",
            "address_2": "109",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424126",
            "telephone_number": "209-369-9800",
            "fax_number": "209-369-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 W KETTLEMAN LN",
            "address_2": "109",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424126",
            "telephone_number": "209-369-9800",
            "fax_number": "209-369-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADYS SALVA CRUZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "SALVA CRUZ",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "RIVERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-310-3523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LODI HEALTHY SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.