Jordan P. Crocker, D.m.d., Pllc

ActiveOrganizationSpecialty not listed
NPI issued: August 29, 2014

Quick Facts

NPI Number
1962802710
TypeOrganization
StatusActive
SpecialtySpecialty not listed
Taxonomy261QD0000X — Specialty not listed
Phone
(601) 638-3661
StateMS

NPI Validation Status: Verified

Valid 10-digit NPI number (1962802710)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 29, 2014)
Data source: CMS NPPES

Provider Overview

JORDAN P. CROCKER, D.M.D., PLLC is a Healthcare provider based in Vicksburg, MS who has been registered with CMS since 2014. They are affiliated with Crocker Family Dental. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1962802710
Provider TypeOrganization
StatusActive
Enumeration DateAugust 29, 2014

Practice Location

CityVicksburg
StateMS
ZIP Code39180
Phone(601) 638-3661

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code261QD0000X
License StateMS

Mailing Address

CityVicksburg
StateMS
ZIP Code39180
Phone(601) 638-3661
Same as practice location

Hospital & Organization Affiliations

🏢

Crocker Family Dental

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How to Use This NPI

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For Insurance Billing

Use NPI 1962802710 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1962802710for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1962802710 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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25,957
Specialty not listed Providers in the US

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People Also Ask

What is Jordan P. Crocker, D.m.d., Pllc's NPI number?
Jordan P. Crocker, D.m.d., Pllc's NPI number is 1962802710, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jordan P. Crocker, D.m.d., Pllc's NPI currently active?
Yes, Jordan P. Crocker, D.m.d., Pllc's NPI status is Active as of the latest CMS NPPES database updates.
What does Jordan P. Crocker, D.m.d., Pllc specialize in?
Jordan P. Crocker, D.m.d., Pllc specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 261QD0000X.
Where does Jordan P. Crocker, D.m.d., Pllc practice?
Jordan P. Crocker, D.m.d., Pllc practices in Vicksburg, MS 39180.
When was Jordan P. Crocker, D.m.d., Pllc's NPI issued?
Jordan P. Crocker, D.m.d., Pllc's NPI was issued on August 29, 2014.
What is Jordan P. Crocker, D.m.d., Pllc's provider type?
Jordan P. Crocker, D.m.d., Pllc is registered as an Organization under CMS NPI Type 2.