NPIMap

Organization Active NPI

Ryan Ray Dela Cruz DDS Inc

  • General Practice Dentistry
  • Fairfield, CA
National Provider Identifier
1245624873
Registry record updated Mar 20, 2015
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
Practice address
1555 Webster St Ste B
Fairfield, CA 94533-4934
Phone
(707) 673-2570
NPI assigned
Mar 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Dr. Ryan Ray Rabago Dela Cruz, DDS
Title
Owner/Dentist
Phone
(707) 673-2570

Specialties & licenses 1

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

Addresses

Primary practice location

1555 Webster St Ste B
Fairfield, CA 94533-4934

Mailing address

1555 Webster St Ste B
Fairfield, CA 94533-4934
Phone (707) 673-2570

Other names 1

  • Cornerstone Smiles Family Dentistry 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

1555 Webster St
Ste B
Fairfield, CA 94533
Phone (707) 673-2570

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": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1245624873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 WEBSTER ST STE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334934",
            "telephone_number": "707-673-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 WEBSTER ST STE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334934",
            "telephone_number": "707-673-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN RAY DELA CRUZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "RYAN RAY",
        "authorized_official_middle_name": "RABAGO",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "707-673-2570",
        "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": "63758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Smiles Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.