Magi A Crofcheck, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

15397 Issued in TX

Practice address

1234 Bay Area Blvd Ste B
Houston, TX 77058-2538

Phone

(281) 286-0056

Fax

(281) 286-1722

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 18, 2019 through Sep 18, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grace Perio & Implants

  • Periodontics
  • Webster, TX
  • NPI 1720882475
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366565988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 BAY AREA BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582538",
            "telephone_number": "281-286-0056",
            "fax_number": "281-286-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 BAY AREA BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582538",
            "telephone_number": "281-286-0056",
            "fax_number": "281-286-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFCHECK",
        "first_name": "MAGI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "15397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laken R Crockett, LCSW, LISW, LICSW
• Molly Crockett, BCBA, LBA
• Sharika Joyce Crockett, PTA
• Renee L Crockford
• Jennifer Croden, MD
• Gordon E Crofoot Jr., MD
• Crofootmd Clinic PLLC
• Jennifer Croft
• Rodney Morris Croft, D.P.M.
• Jay Sawyer Croley, M.D.

• Periodontics in Houston, TX
• Providers in Houston, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.