Individual provider Active NPI

Douglas W. Croft, D.D.S.

  • General Practice Dentistry
  • Kuna, ID
National Provider Identifier
1447200779
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-3282 Issued in ID
Practice address
927 Linder Rd
Kuna, ID 83634-1274
Phone
(208) 922-4149
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124000066 ID Order and Referring Only - Other (Non-Physician) 7911207915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D-3282IDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kuna Dental PC General Practice Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D-3282 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

927 Linder Rd
Kuna, ID 83634-1274

Mailing address

927 Linder Rd
Kuna, ID 83634-1274
Phone (208) 922-4149

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
804236800-3282MedicaidID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447200779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 LINDER RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341274",
            "telephone_number": "208-922-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 LINDER RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341274",
            "telephone_number": "208-922-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFT",
        "first_name": "DOUGLAS",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804236800-3282",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kuna, ID

Sources for this page

Verify at the official NPI Registry.