NPIMap

Organization Active NPI

Rodriguez Cruz Dental Inc

  • Dentist
  • La Puente, CA
National Provider Identifier
1417463324
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48006 Issued in CA
Legal business name
RODRIGUEZ CRUZ DENTAL INC
Practice address
401 S Azusa Ave # a
La Puente, CA 91744-5111
Phone
(626) 839-0400
Fax
(626) 839-0490
NPI assigned
Dec 15, 2017
Last updated
Dec 15, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
ALBERTO RODRIGUEZ CRUZAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Authorized official

Name
Alberto Rodriguez Cruz, DO
Title
Dentist
Phone
(626) 839-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 48006 CA Primary

Addresses

Primary practice location

401 S Azusa Ave # a
La Puente, CA 91744-5111

Mailing address

401 S Azusa Ave # a
La Puente, CA 91744-5111
Phone (626) 839-0400

Other names 1

  • RODRIGUEZ CRUZ DENTAL INC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Rodriguez Cruz Dental Inc2 organizations share this tax ID, including this one
Part of
Rodriguez Cruz Dental Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

401 S Azusa Ave
#A
La Puente, CA 91744
Phone (626) 810-8222

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1417463324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S AZUSA AVE # A",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917445111",
            "telephone_number": "626-839-0400",
            "fax_number": "626-839-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S AZUSA AVE # A",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917445111",
            "telephone_number": "626-839-0400",
            "fax_number": "626-839-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODRIGUEZ CRUZ DENTAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALBERTO RODRIGUEZ CRUZ",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ CRUZ",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-839-0400",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RODRIGUEZ CRUZ DENTAL INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.