Brian Luis Cruz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

063590 Issued in NY

Practice address

101 Rose Dr
East Meadow, NY 11554-1136

Phone

(516) 581-8614

NPI assigned

Jul 7, 2022

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1467185405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROSE DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROSE DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541136",
            "telephone_number": "516-581-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "BRIAN",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Crichton, O.D.
• Helen Cronk, RN
• Robin Croudo, LCSW
• Daniel Cruceta Reynoso
• Abigail Cruz
• Laura A Cruz, LMSW
• Oliver R Cruz
• Ricardo Juan Siochi Cruz IV, M.D.
• Melanie Alexa Cumberbatch, MD
• Joseph Cuoccio, D.P.T

• General Practice Dentistry in East Meadow, NY
• Providers in East Meadow, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.