Organization Active NPI

Sonrisas Dental Center

  • Periodontics
  • Cedar Park, TX
National Provider Identifier
1467865832
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
29766 Issued in TX
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

Updated by the provider on Jun 3, 2014

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)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 29766 TX Primary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 27862 TX
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 29766 TX
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.