Active NPI
Noah Cruz, DDS
- General Practice Dentistry
- Farmers Branch, TX
National Provider Identifier
1972097384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34009
- Practice address
- 13001 Bee St
140
Farmers Branch, TX 75234-7523 - Phone
- (972) 241-3488
- Fax
- (972) 241-3451
- NPI assigned
- Jun 19, 2018
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34009 | TX | Primary |
Addresses
Primary practice location
13001 Bee St
140
Farmers Branch, TX 75234-7523
Mailing address
13001 Bee St.
Ste 140
Farmers Branch, TX 75234-1787
Phone (972) 241-3488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 399774418 | Medicaid | TX |
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 |
|---|---|---|---|
| 34009 | TX | MD | Nutrition Support Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moderna Dental Studio | General Practice | Current | Accepting new patients |
Locations
13001 Bee St
#140
Farmers Branch, TX 75234
Phone (972) 241-3488
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.
-
- General Practice Dentistry
- Farmers Branch, TX
- NPI 1447827092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1972097384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13001 BEE ST.",
"address_2": "STE 140",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752341787",
"telephone_number": "972-241-3488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 BEE ST",
"address_2": "140",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752347523",
"telephone_number": "972-241-3488",
"fax_number": "972-241-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "NOAH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-19",
"last_updated": "2022-03-10",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "399774418",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmers Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.