Luis Alberto Cabrera Cruz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38434 Issued in TX

Practice address

3915 W Davis St Ste 160
Conroe, TX 77304-1879

Phone

(936) 760-2800

NPI assigned

Jun 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lake Conroe Dentistry, PC

  • Dentist
  • Conroe, TX
  • NPI 1457790982
  NPD (past)

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1821729906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 MANSIONS VIEW DR APT 2105",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844350",
            "telephone_number": "786-454-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 W DAVIS ST STE 160",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041879",
            "telephone_number": "936-760-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA CRUZ",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Butler
• Ashley Nicole Byrd, PMHNP-BC
• C 2 K Health and Wellness PLLC
• Michelle Raye Caballero, M.D.
• Jane Meneses Cabanes
• Jeffrey Charles Cadwallader, APRN-CNP
• Megan Caffey
• Tajah Cage
• Jody Ann Caldwell, MD
• Sandra Lynn Caldwell

• General Practice Dentistry in Conroe, TX
• Providers in Conroe, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.

Verify at the official NPI Registry.