Active NPI
Adrian Luis Pastor Cruz, D.M.D.
- General Practice Dentistry
- Roseville, CA
National Provider Identifier
1194985440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 52367
- Practice address
- 1700 Rocky Ridge Dr
Roseville, CA 95661-2818 - Phone
- (916) 782-6001
- NPI assigned
- Jun 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 52367 | CA | Primary |
Addresses
Primary practice location
1700 Rocky Ridge Dr
Roseville, CA 95661-2818
Mailing address
2046 Horseshoe Glen Cir
Folsom, CA 95630-6294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52367 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1194985440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2046 HORSESHOE GLEN CIR",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 ROCKY RIDGE DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612818",
"telephone_number": "916-782-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "ADRIAN LUIS",
"middle_name": "PASTOR",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "52367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.