Cruz Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42293 Issued in CA

Legal business name

CRUZ DENTAL CORPORATION

Practice address

2406 W Edinger Ave
Ste. a
Santa Ana, CA 92704-3544

Phone

(714) 556-1000

Fax

(714) 556-1208

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edwin P Cruz, DDSNPI 1114017506

Title

President

Phone

(714) 556-1000

Specialties & licenses 1

Addresses

Other names 1

• DR. CRUZ DENTAL OFFICE Other name

Locations

Practitioners 1

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

• Edwin P. Cruz, DDS

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1114017506
  NPD (past) Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982761631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 W EDINGER AVE",
            "address_2": "STE. A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043544",
            "telephone_number": "714-556-1000",
            "fax_number": "714-556-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 W EDINGER AVE",
            "address_2": "STE. A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043544",
            "telephone_number": "714-556-1000",
            "fax_number": "714-556-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUZ DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-556-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. CRUZ DENTAL OFFICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brian Cross, MD
• Heather Elizabeth Cross
• Savanna Crowe, NONE
• Joann Yulo Crudo, M.D.
• Elizabeth Cruz de Aikin
• Rocio Cruz-Perez
• Adela Cruz, D.S.W & LCSW
• Annette Cruz
• Edwin Alexander Cruz
• Edwin P. Cruz, DDS

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.