Active NPI
Dawn Cruz
- Pathology Technician
- Grand Rapids, MI
National Provider Identifier
1801637269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pathology Technician
- Practice address
- 625 Kenmoor Ave SE Ste 350
Grand Rapids, MI 49546-2395 - Phone
- (517) 599-0514
- NPI assigned
- Jun 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pathology Technician | 246R00000X | Primary |
Addresses
Primary practice location
625 Kenmoor Ave SE Ste 350
Grand Rapids, MI 49546-2395
Mailing address
625 Kenmoor Ave SE Ste 350
Grand Rapids, MI 49546-2395
Phone (517) 599-0514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply Results LLC | Technician, Pathology | Current | Accepting new patients |
Locations
625 Kenmoor Ave SE
Ste 350
Grand Rapids, MI 49546
Phone (248) 243-1911
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717200000000",
"number": "1801637269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 KENMOOR AVE SE STE 350",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462395",
"telephone_number": "517-599-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 KENMOOR AVE SE STE 350",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462395",
"telephone_number": "517-599-0514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-01",
"last_updated": "2024-06-01",
"certification_date": "2024-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "246R00000X",
"taxonomy_group": "",
"desc": "Technician, Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.