Individual provider Active NPI

Hermann Calvo-Cruz

  • General Practice Dentistry
  • Yonkers, NY
National Provider Identifier
1760574073
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043773 Issued in NY
Practice address
453 S Broadway
Yonkers, NY 10705-2338
Phone
(914) 964-8100
Fax
(914) 964-2905
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 043773 NY Primary

Addresses

Primary practice location

453 S Broadway
Yonkers, NY 10705-2338

Mailing address

453 S Broadway
Yonkers, NY 10705-2338
Phone (914) 964-8100

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

LicenseStateTypeSpecialty
043773NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1760574073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107052338",
            "telephone_number": "914-964-8100",
            "fax_number": "914-964-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107052338",
            "telephone_number": "914-964-8100",
            "fax_number": "914-964-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVO-CRUZ",
        "first_name": "HERMANN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.