Stephanie Marie Cruz, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

104886 Issued in CA

Practice address

1860 N Western Ave Ste 102
Los Angeles, CA 90027-3491

Phone

(323) 301-7125

NPI assigned

Mar 30, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cruz and Gleason Dental Partnership

  • Pediatric Dentistry
  • Los Angeles, CA
  • NPI 1740080142
  NPD Authorized official

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1467984252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 N WESTERN AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273491",
            "telephone_number": "323-301-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 N WESTERN AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273491",
            "telephone_number": "323-301-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "104886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra E Cruz
• Sarah Irene Cruz
• Sean Paul Cruz
• Shad Cruz, MSW, MSG, LCSW
• Stephanie Cruz
• Tina Cruz, MFT
• Tippin S Cruz, RD
• Vilma Marleny Cruz, DSW, LCSW
• Yeni Patricia Cruz
• Yeraldy Cruz

• Pediatric Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.