NPIMap

Organization Active NPI

Daniel N Dela Cruz DMD PLLC

  • General Practice Dentistry
  • Surprise, AZ
National Provider Identifier
1588297329
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DANIEL N DELA CRUZ DMD PLLC
Practice address
15409 W Greenway Rd Ste 100
Surprise, AZ 85374-4368
Phone
(623) 546-3511
NPI assigned
Feb 20, 2020
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daniel Niel Dela Cruz, DMD, BSNNPI 1467981332
Title
Ceo/General Dentist
Phone
(775) 722-4823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X
Dental AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 126800000X
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

15409 W Greenway Rd Ste 100
Surprise, AZ 85374-4368

Mailing address

15409 W Greenway Rd Ste 100
Surprise, AZ 85374-4368
Phone (623) 546-3511

National Provider Directory

National Provider Directory

Locations

15409 W Greenway Rd
Ste 100
Surprise, AZ 85374
Phone (623) 546-3511

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1588297329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15409 W GREENWAY RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744368",
            "telephone_number": "623-546-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15409 W GREENWAY RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744368",
            "telephone_number": "623-546-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL N DELA CRUZ DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "NIEL",
        "authorized_official_title_or_position": "CEO/GENERAL DENTIST",
        "authorized_official_telephone_number": "775-722-4823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, BSN"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.