Active NPI
Timothy E. Cronin, DDS, Inc.
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1487724563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10469
- Legal business name
- TIMOTHY E. CRONIN, DDS, INC.
- Practice address
- 400 S Zang Blvd Ste 820
Dallas, TX 75208-6643 - Phone
- (214) 943-8824
- Fax
- (214) 943-4057
- NPI assigned
- Nov 8, 2006
- 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
- Mrs. Lisa Cronin
- Title
- Wife
- Phone
- (214) 943-8824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10469 | TX | Primary |
Addresses
Primary practice location
400 S Zang Blvd Ste 820
Dallas, TX 75208-6643
Mailing address
400 S Zang Blvd Ste 820
Dallas, TX 75208-6643
Phone (214) 943-8824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0081259-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
400 S Zang Blvd
Ste 820
Dallas, TX 75208
Phone (214) 943-8824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300233600000",
"number": "1487724563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S ZANG BLVD STE 820",
"city": "DALLAS",
"state": "TX",
"postal_code": "752086643",
"telephone_number": "214-943-8824",
"fax_number": "214-943-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S ZANG BLVD STE 820",
"city": "DALLAS",
"state": "TX",
"postal_code": "752086643",
"telephone_number": "214-943-8824",
"fax_number": "214-943-4057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMOTHY E. CRONIN, DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2011-03-16",
"status": "A",
"authorized_official_last_name": "CRONIN",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "WIFE",
"authorized_official_telephone_number": "214-943-8824",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "10469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0081259-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.