Active NPI
Cruzin' Dental PA
- General Practice Dentistry
- Lehigh Acres, FL
National Provider Identifier
1174268940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- CRUZIN' DENTAL PA
- Practice address
- 3003 Lee Blvd
Lehigh Acres, FL 33971-1463 - Phone
- (239) 369-0019
- Fax
- (239) 369-1015
- NPI assigned
- May 4, 2022
- Last updated
- May 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond Santa-Cruz, DMD
- Title
- President
- Phone
- (813) 909-5589
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
3003 Lee Blvd
Lehigh Acres, FL 33971-1463
Mailing address
3003 Lee Blvd
Lehigh Acres, FL 33971-1463
Phone (239) 369-0019
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | office@cruzindental.com |
National Provider Directory
National Provider DirectoryLocations
3003 Lee Blvd
Lehigh Acres, FL 33971
Phone (239) 369-0019
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- New Port Richey, FL
- NPI 1306281522
-
- Dentist
- Lehigh Acres, FL
- NPI 1194841767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651622400000",
"number": "1174268940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 LEE BLVD",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339711463",
"telephone_number": "239-369-0019",
"fax_number": "239-369-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 LEE BLVD",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339711463",
"telephone_number": "239-369-0019",
"fax_number": "239-369-1015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRUZIN' DENTAL PA",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-04",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A",
"authorized_official_last_name": "SANTA-CRUZ",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-909-5589",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "office@cruzindental.com",
"affiliation": "N",
"endpointDescription": "Office email address",
"address_1": "3003 Lee Blvd",
"city": "Lehigh Acres",
"state": "FL",
"country_code": "US",
"postal_code": "339711463",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.