Melissa Y Cruz

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39617 Issued in TX

Practice address

2932 N Belt Line Rd
Irving, TX 75062-5247

Phone

(972) 793-0927

NPI assigned

Mar 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Keller Modern Dentistry and Orthodontics, PC

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1992103295
  NPD (past)

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1336840404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 RUBY RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750607109",
            "telephone_number": "972-655-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 N BELT LINE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625247",
            "telephone_number": "972-793-0927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 N Collins St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760054520",
            "country_code": "US",
            "telephone_number": "682-563-5663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 E Broad St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760636893",
            "country_code": "US",
            "telephone_number": "682-888-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MELISSA",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Crowder, BCBA
• Marnee Crutchfield, MA, LPC
• Edel H Cruz Rosales, BC-HIS
• Angel Ottoniel Cruz
• Erendira Cruz, ATC, LAT
• Noe Ruben Cruz, BS
• Stefany Cruz
• CTV Surgery Associates, P. a.
• Bradley Cubitt, M.D.
• Jonathan G Cude, PH.D.

• General Practice Dentistry in Irving, TX
• Providers in Irving, 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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.