Individual provider Active NPI

Devin L Croft, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Peoria, AZ
National Provider Identifier
1659520617
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D7616 Issued in AZ
Practice address
9772 W Yearling Rd
Ste A1600
Peoria, AZ 85383-1380
Phone
(623) 566-0800
NPI assigned
Sep 15, 2008
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D7616 AZ
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D7616 AZ Primary

Addresses

Primary practice location

9772 W Yearling Rd
Ste A1600
Peoria, AZ 85383-1380

Mailing address

9772 W Yearling Rd
Ste A1600
Peoria, AZ 85383-1380
Phone (623) 566-0800

Other identifiers 2

IdentifierTypeStateIssuer
518939MedicaidAZ
162964MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20100525000434 AZ Practitioner - Oral Surgery 9638206410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Minnesota Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9772 W Yearling Rd
Peoria, AZ 85383-1380
Phone (623) 566-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D7616AZMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Croft Orthodontics PLLC Oral and Maxillofacial Surgery CurrentSince Feb 22, 2010 Accepting new patients
Marlind Stiles PLC Past Accepting new patients
Associated Dental Care Providers Past Accepting new patients

Locations

9772 W Yearling Rd
Ste A1600
Peoria, AZ 85383
Phone (623) 556-0800

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1659520617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9772 W YEARLING RD",
            "address_2": "STE A1600",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831380",
            "telephone_number": "623-566-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9772 W YEARLING RD",
            "address_2": "STE A1600",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831380",
            "telephone_number": "623-566-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFT",
        "first_name": "DEVIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D7616",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D7616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "518939",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162964",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.