Katiana Cruet, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DEN.00204583 Issued in CO

Practice address

8955 Wood Rd
Bethesda, MD 20889-2111

Phone

(301) 295-7861

NPI assigned

Sep 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1114250131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5459 WHITLEY PARK TER",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 WOOD RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208892111",
            "telephone_number": "301-295-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUET",
        "first_name": "KATIANA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN.00204583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cross Capital Health, LLC
• Alainna Crotty, APRN, AGCNS-BC
• Valda Regina Crowder, MD
• Trevor Adam Crowell, M.D.
• Kevin Taft Crowley, M.D.
• Mary Anne Crum, MS, OT/L
• Anne Elizabeth Crunk, PHD, NCC, LGPC
• Andrea Crunkhorn, PT
• Allie Paige Cruz, PA-C
• Judy Li Cruz, RN

• Pediatric Dentistry in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.