Individual provider Active NPI

Ephraim Crocker, N.M.D.

  • Naturopath
  • Phoenix, AZ
National Provider Identifier
1487067443
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
14-1436 Issued in AZ
Practice address
520 W Union Hills Dr Ste 104
Phoenix, AZ 85027-5633
Phone
(800) 928-8127
NPI assigned
Jun 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Naprapath 172P00000X
Naturopath 175F00000X ND-292 HI
Naturopath 175F00000X 14-1436 AZ Primary

Addresses

Primary practice location

520 W Union Hills Dr Ste 104
Phoenix, AZ 85027-5633

Mailing address

4615 SW 42ND St
Ocala, FL 34474-9617

Other practice location 1

1050 Queen St Ste 100
Honolulu, HI 96814-4130
Phone (800) 928-8127

Other practice location 2

330 S Gilbert Rd
#17
Mesa, AZ 85204-2472
Phone (786) 571-4120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14-1436AZMDNaturopath
ND-292HIMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1487067443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 SW 42ND ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344749617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W UNION HILLS DR STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275633",
            "telephone_number": "800-928-8127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Queen St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144130",
            "country_code": "US",
            "telephone_number": "800-928-8127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 S Gilbert Rd",
            "address_2": "#17",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852042472",
            "country_code": "US",
            "telephone_number": "786-571-4120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "EPHRAIM",
        "name_prefix": "Dr.",
        "credential": "N.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-08",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "HI",
            "license": "ND-292",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "14-1436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.