Grisel Martinez Cruz, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

11717 Issued in CT

Practice address

580 Burnside Ave
Suite 2
East Hartford, CT 06108-3579

Phone

(860) 282-9000

NPI assigned

Nov 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1480118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1700329638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082294",
            "telephone_number": "860-528-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 BURNSIDE AVE",
            "address_2": "SUITE 2",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083579",
            "telephone_number": "860-282-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ CRUZ",
        "first_name": "GRISEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-26",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "11717",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "011717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric P Markow
• Alexander Marquis
• Michael Marrero, LCSW
• Janell Martin, LMSW
• Thomas Joseph Martin, M.D.
• Jeffrey D Martone, DPM
• Masonicare Partners Home Health and Hospice, Inc.
• Masonicare Partners Home Health and Hospice, Inc.
• Monica Massabni, PA-C
• Bernisha Master

• Pediatric Dentistry in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.