CROFT ORTHODONTICS PLLC NPI 1225352289

NPI Information

NPI: 1225352289
Provider Name: CROFT ORTHODONTICS PLLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Specialization: Customized Equipment
Entity Type: Organization
Doing Business As: VISTANCIA ORTHODONTICS
Address: 9772 W YEARLING RD STE A1600
PEORIA, AZ
ZIP 85383
Phone: (623) 566-0800

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NPI Details

CROFT ORTHODONTICS PLLC is a customized equipment durable medical equipment medical supplies in Peoria, AZ. CROFT ORTHODONTICS PLLC NPI is 1225352289. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Vistancia Orthodontics.

The provider's business location address is:

9772 W YEARLING RD STE A1600
PEORIA, AZ
ZIP 85383-380
Phone: (623) 566-0800
Fax: (833) 330-2854

The provider's authorized official is Devin L Croft .
The authorized official title is Owner/ Provider and has the following contact phone number (623) 566-0800.

The enumeration date for this NPI number is 3/19/2010 and was last updated on 12/12/2024.

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
1	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	7616	ARIZONA	No
2	332B00000X	Durable Medical Equipment & Medical Supplies				No
3	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

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
1	162964	MEDICAID	ARIZONA
2	518939	MEDICAID	ARIZONA

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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