Croco Orthodontics P.L.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

08174 Issued in IA

Legal business name

CROCO ORTHODONTICS P.L.C.

Practice address

2451 Coral CT Ste 2
Coralville, IA 52241-2837

Phone

(319) 545-7600

Fax

(319) 545-7640

NPI assigned

May 21, 2008

Last updated

May 21, 2008By 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. Matthew A.T. Croco, DDS, MSNPI 1578585691

Title

Owner

Phone

(319) 545-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Matthew A.T. Croco, D.D.S, M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Coralville, IA
  • NPI 1578585691
  Authorized official Same address or phone

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1275790735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 CORAL CT STE 2",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412837",
            "telephone_number": "319-545-7600",
            "fax_number": "319-545-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 CORAL CT STE 2",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412837",
            "telephone_number": "319-545-7600",
            "fax_number": "319-545-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROCO ORTHODONTICS P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "CROCO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A.T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-545-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": "08174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463018",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation (Costco Optical #1111)
• Costco Wholesale Corporation (Costco Hearing Aid #1111)
• Kirk D Crabtree, PHARM.D
• Albert Cram, MD
• Lana Lynnette Criswell, MA SLP
• Matthew A.T. Croco, D.D.S, M.S.
• Crosscare Health Solutions LLC
• Taylor Jade Grider Crowley, LMSW, BCBA
• Sonia Joy Culver, M.A, CCC-SLP
• Grace Dahlen

• Orthodontics and Dentofacial Orthopedics Dentistry in Coralville, IA
• Providers in Coralville, IA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.