Ethel Cruz DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51913 Issued in CA

Legal business name

ETHEL CRUZ DMD INC

Practice address

5814 Riverside Drive
Chino, CA 91710

Phone

(909) 548-4844

Fax

(909) 548-0774

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Ethel S Cruz

Title

Owner

Phone

(909) 548-4844

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Smile Now Dental Other name

Locations

Practitioners 1

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

• Mi Sung Heo-Kim

  • Dentist
  • Chino, CA
  • NPI 1265594881
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1295938447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 RIVERSIDE DRIVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-548-4844",
            "fax_number": "909-548-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 RIVERSIDE DRIVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-548-4844",
            "fax_number": "909-548-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHEL CRUZ DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-548-4844",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9416101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Now Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Esparza Dental Corporation
• Noel Espiritu
• Martha Lucia Esquivel, PSYD
• Jasmine Estrada
• Ali M. Etemadian, D.O.
• Candy Eusebio, PTA
• Paul Evans, DC
• Everside Health Chino Hills
• Excel RX Inc
• Excellence Home Health Care Agency, Inc.

• General Practice Dentistry in Chino, CA
• Providers in Chino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.