Jennifer Marie Cruz

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40534 Issued in TX

Practice address

18851 University Blvd Ste 210
Sugar Land, TX 77479-6818

Phone

(281) 990-0685

NPI assigned

Mar 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ideal Dental of Sugarland PLLC

  • Dentist
  • Sugar Land, TX
  • NPI 1174024657
  NPD

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1295437887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 MARIA HEIGHTS CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770472110",
            "telephone_number": "956-472-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18851 UNIVERSITY BLVD STE 210",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796818",
            "telephone_number": "281-990-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Crowe, MD
• Crownwise
• Alexander Isaac Cruz, M.ED. LPC - A
• Evelyn E Cruz
• Felix Cruz Jr.
• CSBG Investments LLC
• Giovanni B Cuaresma Jr., PT, DPT
• Chioke Cuartero-Crawford, PT, DPT
• Jessica Cuccio, P.A.
• Reid Macinnes Cuming, M.D., P.A.

• General Practice Dentistry in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.