Active NPI
Daniel Everett Cronk, DDS
- General Practice Dentistry
- Woodland Hills, CA
National Provider Identifier
1275935595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- CA39781
- Practice address
- 23111 Ventura Blvd
Suite 203
Woodland Hills, CA 91364-1103 - Phone
- (818) 224-2001
- Fax
- (818) 224-4622
- NPI assigned
- Sep 17, 2014
- 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 | CA39781 | CA | Primary |
Addresses
Primary practice location
23111 Ventura Blvd
Suite 203
Woodland Hills, CA 91364-1103
Mailing address
23111 Ventura Blvd
Suite 203
Woodland Hills, CA 91364
Phone (818) 224-2001
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 |
|---|---|---|---|
| CA39781 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel E. Cronk DDS Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Woodland Hills, CA
- NPI 1851412688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427846400000",
"number": "1275935595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23111 VENTURA BLVD",
"address_2": "SUITE 203",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "91364",
"telephone_number": "818-224-2001",
"fax_number": "818-224-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23111 VENTURA BLVD",
"address_2": "SUITE 203",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641103",
"telephone_number": "818-224-2001",
"fax_number": "818-224-4622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONK",
"first_name": "DANIEL",
"middle_name": "EVERETT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-17",
"last_updated": "2015-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "CA39781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.