Elite Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

ELITE ENDODONTICS

Practice address

1500 Horizon Dr Ste 112
Chalfont, PA 18914-3966

Phone

(845) 750-5649

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jaclyn Cruz, DMDNPI 1114586369

Title

Ceo

Phone

(845) 750-5649

Specialties & licenses 1

Addresses

Other names 1

• Endodontic Speciality Practice Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Lee Rabadi Cruz, DMD

  • Endodontics
  • Moorestown, NJ
  • NPI 1114586369
  NPD Authorized official
• Daniel Leung, D.M.D.

  • Endodontics
  • Chalfont, PA
  • NPI 1427184035
  NPD (past)
• Joseph F Palermo, D.M.D

  • Endodontics
  • Chalfont, PA
  • NPI 1174611404
  NPD (past)
• Demetress Latrice Davis, DDS MDS

  • Endodontics
  • Rocky Hill, CT
  • NPI 1437484938
  NPD (past)

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1629809793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HORIZON DR STE 112",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143966",
            "telephone_number": "215-997-9888",
            "fax_number": "215-997-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HORIZON DR STE 112",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143966",
            "telephone_number": "845-750-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-11",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-750-5649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontic Speciality Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eagle Helpers in-Home Health Care Service LLC
• Dennis Mark Eble, DDS
• Jennifer Lynn Eisennagel, DPT
• Meghan Eisold
• Emily Ann Elek, MS, ATC, LAT
• Ava Esposito
• Eye Associates
• Family Care Medical Center
• Michele Susan Fareno
• Athena K Farrell, DC

• Endodontics in Chalfont, PA
• Providers in Chalfont, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.