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JON E CRUZ DDS
NPI 1720063589
Dentist - General Practice in Pine City, MN

Active since December 14, 2005PECOS Enrolled
505 JOHNSON AVE SE, PINE CITY, MN 55063(320) 629-2282(320) 629-3357 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jon E Cruz Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JON E CRUZ DDS (NPI 1720063589) is an individual general practice provider in Pine City, Minnesota, licensed in Minnesota (11488) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720063589
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJON E CRUZCredential: DDS
Location Address505 JOHNSON AVE SEPine City, MN 55063-2108
Mailing Address505 Johnson Ave SePine City, MN 55063-2108 · (320) 629-2282 · Fax (320) 629-3357
Phone(320) 629-2282
Fax(320) 629-3357
Sole ProprietorYes
Enumeration DateDecember 14, 2005
Last NPPES UpdateAugust 7, 2013
✔ NPI 1720063589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 11488
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

505 JOHNSON AVE SE, Pine City, MN 55063
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon E Cruz Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OAK PARK DENTAL - PINE CITY LLC
Dentist (General Practice)
505 JOHNSON AVE SE
PINE CITY, MN 55063
Pine County (320) 629-2282
OAK PARK DENTAL CLINIC
Dentist (General Practice)
505 JOHNSON AVE SE
PINE CITY, MN 55063
Pine County (320) 629-2282
CARRIE CARLSON DDS
Dentist (General Practice)
505 JOHNSON AVE SE
PINE CITY, MN 55063
Pine County (320) 629-2282
4TH AVENUE DENTAL, PA, DBA OAK PARK DENTAL
Dentist (General Practice)
505 JOHNSON AVE SE
PINE CITY, MN 55063
Pine County (320) 629-2282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Cruz's NPI number?

The NPI number for Jon Cruz is 1720063589. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Jon Cruz located?

Jon Cruz practices at 505 Johnson Ave SE, Pine City, MN 55063. The listed phone number is (320) 629-2282.

What is Jon Cruz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jon Cruz enrolled in Medicare?

Yes. Jon Cruz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jon Cruz was last updated on August 7, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.