Gabriel Philip Crocker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8097 Issued in NE

Practice address

7059 Dodge St Ste 102
Omaha, NE 68132-2703

Phone

(402) 200-3220

NPI assigned

Mar 29, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gabe Crocker Professional name

Medicare fee-for-service enrollment

Enrolled in OR

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1619770237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7059 DODGE ST STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322703",
            "telephone_number": "402-200-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7059 DODGE ST STE 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322703",
            "telephone_number": "402-200-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "GABRIEL",
        "middle_name": "PHILIP",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-29",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "8097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500860970",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABE",
            "last_name": "CROCKER",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Morgan Crist
• Cristin C Wilson DDS
• Critical Care Associates LLP
• Natalya Crittenden
• Timothy P. Crnkovich, MD
• David G Crockett, M.D.
• Lawrence Crockett
• Curtrina Crockron
• Raisha Crockron
• Anna Croghan, PHD

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.