Individual provider Active NPI

Raymond A Santa-Cruz, DMD

  • Dentist
  • New Port Richey, FL
National Provider Identifier
1306281522
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20079 Issued in FL
Practice address
4104 Little Rd
New Port Richey, FL 34655-1721
Phone
(727) 376-2666
Fax
(727) 245-8864
NPI assigned
May 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DN20079 FL
Dentist 122300000X DN20079 FL Primary

Addresses

Primary practice location

4104 Little Rd
New Port Richey, FL 34655-1721

Mailing address

4104 Little Rd
New Port Richey, FL 34655-1721
Phone (727) 376-2666

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

LicenseStateTypeSpecialty
DN20079FLMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Cruzin' Dental PA CurrentSince May 8, 2022 Accepting new patients
West Coast Dental Partners Durable Medical Equipment & Medical Supplies PastSince Aug 25, 2019 Accepting new patients
VDC-Spring Hill PA Past Accepting new patients

Locations

3003 Lee Blvd
Lehigh Acres, FL 33971
Phone (239) 369-0019

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1306281522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551721",
            "telephone_number": "727-376-2666",
            "fax_number": "727-245-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551721",
            "telephone_number": "727-376-2666",
            "fax_number": "727-245-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA-CRUZ",
        "first_name": "RAYMOND",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "DN20079",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.