Regina Isabel De la Cruz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106828 Issued in CA

Practice address

12360 Firestone Blvd
Norwalk, CA 90650-4324

Phone

(866) 733-5924

NPI assigned

May 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Regina Chua Delacruz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: regina.delacruzdds.p1@direct.jwch.nextgenshare.com

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1114549953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6589 COUNTRY WINDS CV",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637433",
            "telephone_number": "561-543-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504324",
            "telephone_number": "866-733-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "REGINA ISABEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "DELACRUZ",
            "middle_name": "CHUA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrea Nicole Dawson
• Kevin Dayrit
• Rafael De Anda
• Antonio De Aquino
• Glenn Michael De Guzman, P.A.
• Kate De la Rosa, PH D
• Alexia De la Torre Ramirez
• Devanny Vanessa De la Torre
• Sandra De la Torre
• Jack De Lara

• General Practice Dentistry in Norwalk, CA
• Providers in Norwalk, 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 Jun 21, 2024; 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.