DR. DAVID J. CROCKETT M.D. NPI 1225282882

NPI Information

  • NPI: 1225282882
  • Provider Name: DR. DAVID J. CROCKETT, M.D.
  • Classification: Otolaryngology - 207YP0228X
  • Specialization: Pediatric Otolaryngology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4545 E CHANDLER BLVD
    SUITE 202
    PHOENIX, AZ
    ZIP 85048
  • Phone: (480) 659-2330

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NPI Details

DR. David J. Crockett, M.D. is a pediatric otolaryngology otolaryngology in Phoenix, AZ. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. DR. David J. Crockett, M.D. NPI is 1225282882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4545 E CHANDLER BLVD
SUITE 202
PHOENIX, AZ
ZIP 85048-645
Phone: (480) 659-2330
Fax: (480) 659-2544

The NPI 1225282882 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/10/2008 and was last updated on 2/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology49273ARIZONANo
2207YP0228XOtolaryngologyPediatric Otolaryngology49273ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1922449MEDICAIDARIZONA
2167833MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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