Organization Active NPI

De la Cruz Dental

  • General Practice Dentistry
  • Downey, CA
National Provider Identifier
1699107060
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48389 Issued in CA
Legal business name
DE LA CRUZ DENTAL
Practice address
8077 Florence Ave
Suite 107
Downey, CA 90240
Phone
(562) 928-6900
Fax
(562) 928-7900
NPI assigned
Aug 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Dr. Ernesto M Tena, DDS
Title
Owner/ Dentist
Phone
(562) 928-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48389 CA Primary

Addresses

Primary practice location

8077 Florence Ave
Suite 107
Downey, CA 90240

Mailing address

8077 Florence Ave
Suite 107
Downey, CA 90240
Phone (562) 928-6900

Other identifiers 1

IdentifierTypeStateIssuer
1427117514OtherCADENTICAL

National Provider Directory

National Provider Directory

Locations

8077 Florence Ave
Ste 107
Downey, CA 90240
Phone (562) 928-6900

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1699107060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8077 FLORENCE AVE",
            "address_2": "SUITE 107",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90240",
            "telephone_number": "562-928-6900",
            "fax_number": "562-928-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8077 FLORENCE AVE",
            "address_2": "SUITE 107",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90240",
            "telephone_number": "562-928-6900",
            "fax_number": "562-928-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LA CRUZ DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "TENA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "562-928-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "1427117514",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.