Active NPI
William Edward Crofts, DDS
- Dentist
- Draper, UT
National Provider Identifier
1972717254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D7567
- Practice address
- 12288 South 900 East
Draper, UT 84020 - Phone
- (801) 501-0209
- Fax
- (801) 501-7440
- NPI assigned
- May 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D7567 | OR | Primary |
Addresses
Primary practice location
12288 South 900 East
Draper, UT 84020
Mailing address
1539 W Harvard Ave
Roseburg, OR 97470-2873
Phone (541) 673-5150
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: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161102001316 | ID | Order and Referring Only - Dentist | 1254638364 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7567 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher S. Johnson, D.D.S., P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Harvard Dental Group
- General Practice Dentistry
- Roseburg, OR
- NPI 1023296639
-
dba South Mountain Dental
- General Practice Dentistry
- Draper, UT
- NPI 1316158314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1972717254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1539 W HARVARD AVE",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974702873",
"telephone_number": "541-673-5150",
"fax_number": "541-673-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12288 SOUTH 900 EAST",
"city": "DRAPER",
"state": "UT",
"postal_code": "84020",
"telephone_number": "801-501-0209",
"fax_number": "801-501-7440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROFTS",
"first_name": "WILLIAM",
"middle_name": "EDWARD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D7567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.