Active NPI
Ephraim Crocker, N.M.D.
- Naturopath
- Phoenix, AZ
National Provider Identifier
1487067443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 14-1436
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14-1436 | AZ | MD | Naturopath |
| ND-292 | HI | MD | Naturopath |
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.