Organization Active NPI

Eugene L de la Cruz DPM PC

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1184072894
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
EUGENE L DE LA CRUZ DPM PC
Practice address
1743 W Sienna Bouquet PL
Phoenix, AZ 85085-8040
Phone
(631) 827-8159
NPI assigned
Jun 3, 2016
Last updated
Jun 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Mathew James
Title
Billing Manager
Phone
(631) 827-8159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X AZ Primary

Addresses

Primary practice location

1743 W Sienna Bouquet PL
Phoenix, AZ 85085-8040

Mailing address

1743 W Sienna Bouquet PL
Phoenix, AZ 85085-8040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1184072894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 W SIENNA BOUQUET PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 W SIENNA BOUQUET PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858040",
            "telephone_number": "631-827-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE L DE LA CRUZ DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-827-8159"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.