DR. OMAR R CRUZ (NPI# 1659565232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659565232 |
| Entity Type | Individual |
| Full Name | DR. OMAR R CRUZ |
| Credential | DMD |
| Practice Address |
1426 W Belmont Ave Chicago IL 60657-6898 |
| Practice Telephone | 7735280068 |
| Practice Fax Number | 7735280088 |
| Mailing Telephone | 7735280068 |
| Mailing Fax Number | 7735280088 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2008-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
019027075 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598239303 | Omar Cruz | Nurse Anesthetist, Certified Registered | Hospital Pavia Carr 129, Arecibo, PR 00562 | 2019-01-15 |
| 1013372861 | Omar Cruz | Behavioral Analyst | 4304 1/2 Woodlawn Ave, Los Angeles, CA 90011-5809 | 2015-12-22 |
| 1083913297 | Omar Cruz | Massage Therapist | 1838 Nw Flagler Terrace, Apt 7, Miami, FL 33125 | 2011-03-28 |
| 1104279827 | Omar Cruz | Counselor | 433 Salinas St, Salinas, CA 93901-2717 | 2016-07-18 |
| Street Address |
1426 W BELMONT AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-6898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609942994 | Jose Villa | Dentist | 1426 W Belmont Ave, Chicago, IL 60657-2111 | 2006-11-28 |
| 1871841924 | Claudia Patricia Piccolo | Dentist | 1426 W Belmont Ave, Chicago, IL 60657-6898 | 2012-08-21 |
| 1275897498 | Joanna Kalaw Basaya | Dentist | 1426 W Belmont Ave, Chicago, IL 60657-6898 | 2012-07-02 |
| 1437301744 | Jose Villa PC | Dentist | 1426 W Belmont Ave, #1, Chicago, IL 60657-6898 | 2008-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720622152 | Sandra Altarawneh | Dentist | Uic College of Dentistry, 801 S. Paulina Street, Chicago, IL 60612 | 2019-10-29 |
| 1578047882 | Mohammed Salih | Dentist | 4408 W Lawrence Ave Ste 2, Chicago, IL 60630-2511 | 2018-09-21 |
| 1952485096 | David Joel Reisberg | Dentist | 811 S. Paulina St., Mc 588, Chicago, IL 60612-4305 | 2006-10-25 |
| 1831162528 | Dcp of Illinois (irving Park), Ltd. | Dentist | 4066 North Milwaukee Ave, Chicago, IL 60641 | 2006-02-11 |
| 1528666229 | Michelle Akemi Marcano | Dentist | 801 S Paulina St, Chicago, IL 60612-7210 | 2020-10-14 |
| 1649688607 | Suzie Ahn | Dentist | 1933 W Irving Park Rd, Chicago, IL 60613-5180 | 2014-07-22 |
| 1386928554 | Aristotelis Marinis | Dentist | 801 S Paulina St, Restorative Dentistry, Chicago, IL 60612-7210 | 2011-10-05 |
| 1801100391 | Faisel Abdulhamid Ashtewi | Dentist | 676 N Michigan Ave Ste 3500, Chicago, IL 60611-2839 | 2010-07-27 |
| 1639327570 | Ales Obrez | Dentist | 801 S Paulina St, Rm 204k, Chicago, IL 60612-7210 | 2008-09-04 |
| 1790940849 | Anil Agarwal | Dentist | 8559 S Pulaski Rd, Chicago, IL 60652-3643 | 2008-07-28 |
| Find all providers in CHICAGO | ||||
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| 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.