Organization Active NPI

Timothy E. Cronin, DDS, Inc.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1487724563
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10469 Issued in TX
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

Updated by the provider on Mar 16, 2011

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0081259-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.