DR. ENRIQUE CRUZ (NPI# 1619393469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619393469 |
| Entity Type | Individual |
| Full Name | DR. ENRIQUE CRUZ |
| Credential | DDS, MSD |
| Practice Address |
115 Sandra Muraida Way Apt 631 Austin TX 78703-4696 |
| Practice Telephone | 3173624592 |
| Mailing Telephone | 3173624592 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
29766 | TX | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
29766 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124595038 | Enrique Cruz | Social Worker | 75 New Scotland Ave, Albany, NY 12208-3409 | 2018-10-29 |
| Street Address |
115 SANDRA MURAIDA WAY APT 631 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78703-4696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158261 | Kelly Witte | Nurse Practitioner | 501 Hearn Street, Austin, TX 78703 | 2020-09-09 |
| 1053779207 | Bodhi Leaf, Pllc | Social Worker | 1300 West Lynn Drive, Suite 207, Austin, TX 78703 | 2016-02-03 |
| 1073904447 | Danielle Frommer | Behavioral Analyst | 311 Bowie St Apt 1903, Austin, TX 78703 | 2015-02-06 |
| 1437391711 | Brett Douglas Macadam | Radiology | 3112 Windsor Rd #517, Radiology Specialists of Central Texas, Austin, TX 78703 | 2009-04-01 |
| 1184878191 | Albright Medical Associates | Family Medicine | 800 W. 5th St, #201, Austin, TX 78703 | 2008-11-05 |
| 1063616662 | Anna C Bell | Pediatrics | 1912 N. 35th St., Austin, TX 78703 | 2007-06-14 |
| 1447472808 | Austin Wellness Institute | General Practice | 1501 W 5th Street, Suite 109, Austin, TX 78703 | 2007-05-03 |
| 1487871968 | Joni K Wallace | Dentist | 2414 Exposition Blvd, Suite B-105, Austin, TX 78703 | 2007-04-19 |
| 1073631339 | Tays General Dentistry Pa | Dentist | 3404 Kerbey Lane, Austin, TX 78703 | 2007-03-26 |
| 1083758270 | Amy Carlisle Goodwin | Counselor | 2408 Enfield Rd, #213, Austin, TX 78703 | 2007-02-19 |
| Find all providers in zip 78703 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961492 | Sonrisas Dental Center South, LLC | Dentist | 1217 W Slaughter Ln Ste 100, Austin, TX 78748-6912 | 2020-08-05 |
| 1821519349 | Alireza Torabi | Dentist | 5000 W Slaughter Ln Ste 203, Austin, TX 78749-4057 | 2017-07-06 |
| 1558774554 | Austin Perio Health | Dentist | 4310 Medical Pkwy Ste 201, Austin, TX 78756-3331 | 2014-06-06 |
| 1285074260 | Marcy Jo Watson | Dentist | 11615 Angus Rd Ste 101, Austin, TX 78759-4064 | 2013-07-05 |
| 1568717460 | Cuong Huy Ha | Dentist | 2500 W William Cannon Dr Ste 103, Austin, TX 78745-5287 | 2012-07-17 |
| 1760798979 | Kishore Sama | Dentist | 1110 W William Cannon Dr Ste 401, Austin, TX 78745-5498 | 2010-08-25 |
| 1114165685 | Joshua Roland Chapa | Dentist | 4310 Medical Pkwy Ste 120, Austin, TX 78756-3331 | 2009-01-21 |
| 1013163260 | Siddharth Gupta | Dentist | 12319 N Mopac Expy Ste 160, Austin, TX 78758-2648 | 2008-08-07 |
| 1528286952 | Melanie Danielle Robinson | Dentist | 3305 Northland Dr Ste 204, Austin, TX 78731-5011 | 2007-04-23 |
| 1326183351 | Wan Hin Humphrey Ho | Dentist | 12854 Research Blvd, Austin, TX 78750-3222 | 2007-02-20 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on DR. ENRIQUE CRUZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.