Justin G Crockett Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JUSTIN G CROCKETT DENTISTRY PLLC

Doing business as

BLVD Dentistry

Practice address

5000 Westheimer Rd
Suite 630
Houston, TX 77056

Phone

(713) 255-0780

Fax

(713) 255-0781

NPI assigned

Aug 10, 2010

Last updated

Nov 2, 2018By 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

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• BLVD Dentistry Doing business as

Locations

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.

• Solmaz Eftekhari, D.D.S.

  • General Practice Dentistry
  • Houston, TX
  • NPI 1992130975
  NPD (past)
• Joshua George

  • Dentist
  • Houston, TX
  • NPI 1467182097

  General Practice

  NPD (past)

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1316252778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 WESTHEIMER RD",
            "address_2": "SUITE 630",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77056",
            "telephone_number": "713-255-0780",
            "fax_number": "713-255-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 WESTHEIMER RD",
            "address_2": "SUITE 630",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77056",
            "telephone_number": "713-255-0780",
            "fax_number": "713-255-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN G CROCKETT DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLVD Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandy Theresa Juste, MD
• Christina Justice, AGACNP-BC
• Crystal Justice
• Mina Justice
• Justin Dental Heights PLLC (BLVD Dentistry - Heights)
• Grace Rajeshwari Justin, RN
• Kaitlyn Justl, M.S., CCC-SLP
• Justryde Medical Transportation LLC
• Caitlin Amy Justus, PA-C
• Natalie Josephine Wolf Justus, DPT

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.