Organization Active NPI

Ryan Ray Dela Cruz DDS Inc

Doing business as Norris Canyon Dental

  • General Practice Dentistry
  • San Ramon, CA
National Provider Identifier
1205211364
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63758 Issued in CA
Legal business name
RYAN RAY DELA CRUZ DDS INC
Doing business as
Norris Canyon Dental
Practice address
2551 San Ramon Valley Blvd
Suite 105
San Ramon, CA 94583-1614
Phone
(925) 309-4539
Fax
(925) 309-4736
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Dr. Ryan Ray Dela Cruz, D.D.S.NPI 1023417219
Title
Ceo/President
Phone
(925) 309-4539

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 63758 CA Primary

Addresses

Primary practice location

2551 San Ramon Valley Blvd
Suite 105
San Ramon, CA 94583-1614

Mailing address

2551 San Ramon Valley Blvd
Suite 105
San Ramon, CA 94583-1614
Phone (925) 309-4539

Other names 1

  • Norris Canyon Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Smiles Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2551 San Ramon Valley Blvd
Ste 105
San Ramon, CA 94583
Phone (925) 309-4539

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1205211364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 105",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831614",
            "telephone_number": "925-309-4539",
            "fax_number": "925-309-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 105",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831614",
            "telephone_number": "925-309-4539",
            "fax_number": "925-309-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN RAY DELA CRUZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "RYAN RAY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "925-309-4539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norris Canyon Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.