Organization Active NPI

Cruz and Gleason Dental Partnership

  • Pediatric Dentistry
  • Los Angeles, CA
National Provider Identifier
1740080142
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CRUZ AND GLEASON DENTAL PARTNERSHIP
Practice address
1860 N Western Ave Ste 102
Los Angeles, CA 90027-3491
Phone
(323) 301-7125
NPI assigned
Mar 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Stephanie M Cruz, DDSNPI 1467984252
Title
Co-Owner
Phone
(323) 301-7125

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1860 N Western Ave Ste 102
Los Angeles, CA 90027-3491

Mailing address

1860 N Western Ave Ste 102
Los Angeles, CA 90027-3491
Phone (323) 301-7125

National Provider Directory

National Provider Directory

Locations

1860 N Western Ave
Ste 102
Los Angeles, CA 90027
Phone (323) 301-7125

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1740080142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 N WESTERN AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273491",
            "telephone_number": "323-301-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 N WESTERN AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273491",
            "telephone_number": "323-301-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUZ AND GLEASON DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "323-301-7125",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.