NPIMap

Organization Active NPI

Eleanore S. Cruz D.D.S. Inc.

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1215296074
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56355 Issued in CA
Legal business name
ELEANORE S. CRUZ D.D.S. INC.
Practice address
4004 Panama Lane
Suite 500
Bakersfield, CA 93313
Phone
(323) 244-0683
NPI assigned
May 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Dr. Eleanore Salapare Cruz, DDS
Title
Owner
Phone
(323) 244-0683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 56355 CA Primary

Addresses

Primary practice location

4004 Panama Lane
Suite 500
Bakersfield, CA 93313

Mailing address

4004 Panama Lane
Suite 500
Bakersfield, CA 93313
Phone (323) 244-0683

National Provider Directory

National Provider Directory

Locations

4004 Panama Ln
Ste 500
Bakersfield, CA 93313
Phone (323) 244-0683

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1215296074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 PANAMA LANE",
            "address_2": "SUITE 500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93313",
            "telephone_number": "323-244-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 PANAMA LANE",
            "address_2": "SUITE 500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93313",
            "telephone_number": "323-244-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANORE S. CRUZ D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ELEANORE",
        "authorized_official_middle_name": "SALAPARE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-244-0683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.