Active NPI
Sonrisas Dental Center
- Periodontics
- Cedar Park, TX
National Provider Identifier
1467865832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 29766
- Legal business name
- SONRISAS DENTAL CENTER
- Practice address
- 1130 Cottonwood Creek TRL
#A1
Cedar Park, TX 78613-7588 - Phone
- (512) 593-7970
- NPI assigned
- Jun 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Enrique Cruz, D.D.S., M.S.
- Title
- Owner
- Phone
- (512) 593-7970
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 29766 | TX | Primary |
| Prosthodontics | 1223P0700X | 27862 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 29766 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 27824 | TX |
Addresses
Primary practice location
1130 Cottonwood Creek TRL
#A1
Cedar Park, TX 78613-7588
Mailing address
1130 Cottonwood Creek TRL
#A1
Cedar Park, TX 78613-7588
Phone (512) 593-7970
National Provider Directory
National Provider DirectoryLocations
1130 Cottonwood Creek Trl
Ste A1
Cedar Park, TX 78613
Phone (512) 593-7970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401753600000",
"number": "1467865832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 COTTONWOOD CREEK TRL",
"address_2": "#A1",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137588",
"telephone_number": "512-593-7970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 COTTONWOOD CREEK TRL",
"address_2": "#A1",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137588",
"telephone_number": "512-593-7970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONRISAS DENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-03",
"last_updated": "2014-06-03",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "ENRIQUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-593-7970",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S., M.S."
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "29766",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "TX",
"license": "27862",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "29766",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "27824",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.