Maria Cristina Cisneros, DMD, MS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS106279 Issued in CA

Practice address

43531 10TH St W
Lancaster, CA 93534-6005

Phone

(661) 839-7630

NPI assigned

Jul 19, 2021

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joseph Hanna Dental Corporation

  • General Practice Dentistry
  • Lancaster, CA
  • NPI 1831577923
  NPD (past)

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1194398032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34766 CAPROCK RD",
            "city": "AGUA DULCE",
            "state": "CA",
            "postal_code": "913905422",
            "telephone_number": "661-607-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43531 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346005",
            "telephone_number": "661-839-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "MARIA CRISTINA",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS106279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robelle Church
• Keyry Jacqueline Cid, SLPA
• Adrian Cincis
• Circles of Balance a Professional Corporation Licensed Clinical Social Worker
• Michael Anthony Cirillo
• City of Hope Medical Foundation
• CK I, Inc.
• CK II, Inc.
• Gina Marie Clark, ACSW
• Jeffrey Jay Clark, OD

• Dentist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.