Croft Orthodontics PLLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

CROFT ORTHODONTICS PLLC

Doing business as

Vistancia Orthodontics

Practice address

9772 W Yearling Rd Ste A1600
Peoria, AZ 85383-1380

Phone

(623) 566-0800

Fax

(833) 330-2854

NPI assigned

Mar 19, 2010

Last updated

Dec 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Devin L Croft, DDS, MSNPI 1659520617

Title

Owner/ Provider

Phone

(623) 566-0800

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Vistancia Orthodontics Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Devin L Croft, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Peoria, AZ
  • NPI 1659520617

  Oral and Maxillofacial Surgery

  Medicare reassignment NPD Authorized official
• Marlind Harry Stiles, DMD

  • Endodontics
  • Erie, PA
  • NPI 1043497183
  NPD (past)

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1225352289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9772 W YEARLING RD STE A1600",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831380",
            "telephone_number": "623-566-0800",
            "fax_number": "623-566-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9772 W YEARLING RD STE A1600",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831380",
            "telephone_number": "623-566-0800",
            "fax_number": "833-330-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROFT ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "CROFT",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "623-566-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "7616",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162964",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "518939",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vistancia Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Marie Crist, LCSW
• Sallie Carol Cristiani, RN
• Lora Critser
• Patty J Crocker, M.D.
• Courtnie Lyn Crockett, PA-C
• Devin L Croft, DDS, MS
• Spencer W Crook, DMD MS
• Crossroads Treatment Center LLC
• Penelope Joy Crowe, PA-C
• Darius Anthony Cruz

• Customized Equipment (DME) in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Customized Equipment (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.