Meghanne Kruizenga, DDS Apc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MEGHANNE KRUIZENGA, DDS APC

Doing business as

Meghanne Kruizenga, DDS APC

Practice address

1202 Beaumont Ave Ste B
Beaumont, CA 92223-1506

Phone

(951) 283-5827

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Meghanne Kruizenga, DDSNPI 1851537039

Title

Owner Dentist

Phone

(951) 572-8010

Specialties & licenses 1

Addresses

Other names 1

• Meghanne Kruizenga, DDS APC Doing business as

Locations

Practitioners 1

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

• Meghanne Elizabeth Kruizenga, D.D.S.

  • Pediatric Dentistry
  • Redlands, CA
  • NPI 1851537039
  NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1326618869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 W CRESCENT AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736539",
            "telephone_number": "951-572-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 BEAUMONT AVE STE B",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922231506",
            "telephone_number": "951-283-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGHANNE KRUIZENGA, DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "KRUIZENGA",
        "authorized_official_first_name": "MEGHANNE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "951-572-8010",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meghanne Kruizenga, DDS APC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meghanne Kruizenga, DDS APC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danny J McCroskey
• Phillip N McKinnon, LMFT
• Adelaide McMahon, LCSW
• Christine M McMahon, PSY.D
• Nina Medes, RPT
• Liliana Naranjo Mejia
• Maged Melek, M.D.
• Teresa Mendoza Muwwakkil, WELLNESS COACH II
• Mercy Prosthetics & Orthotics Group
• Anne-Marie Meyer, CCC-SLP

• Pediatric Dentistry in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.