Active NPI
Devan Cruz, DDS
- Dentist
- Rohnert Park, CA
National Provider Identifier
1730050840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS111688
- Practice address
- 1400 Medical Center Dr Ste C
Rohnert Park, CA 94928-2924 - Phone
- (707) 622-6748
- NPI assigned
- Sep 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS111688 | CA | Primary |
Addresses
Primary practice location
1400 Medical Center Dr Ste C
Rohnert Park, CA 94928-2924
Mailing address
525 Nelson Rising LN Apt 605
San Francisco, CA 94158-2296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS111688 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757721600000",
"number": "1730050840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 NELSON RISING LN APT 605",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941582296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MEDICAL CENTER DR STE C",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949282924",
"telephone_number": "707-622-6748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "DEVAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-13",
"last_updated": "2025-09-13",
"certification_date": "2025-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS111688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rohnert Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.