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VISTANCIA ORTHODONTICS
NPI 1225352289
Durable Medical Equipment & Medical Supplies - Customized Equipment in Peoria, AZ

Active since March 19, 2010
9772 W YEARLING RD STE A1600, PEORIA, AZ 85383(623) 566-0800(833) 330-2854 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2024, Oct 13, 2023, Jul 26, 2022 and 2 more (5 updates tracked since 2021).

About Vistancia Orthodontics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISTANCIA ORTHODONTICS (NPI 1225352289) is a healthcare organization registered as a customized equipment in Peoria, Arizona and active in the NPI registry since March 2010. The organization lists Devin L Croft, Owner/ Provider, as its authorized official.

NPPES Registry Identity

NPI1225352289
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameCROFT ORTHODONTICS PLLC
Location Address9772 W YEARLING RD STE A1600Peoria, AZ 85383-1380
Mailing Address9772 W Yearling Rd Ste A1600Peoria, AZ 85383-1380 · (623) 566-0800 · Fax (623) 566-0860
Phone(623) 566-0800
Fax(833) 330-2854
Organization SubpartNo
Authorized OfficialDevin L CroftOwner/ Provider · (623) 566-0800
Enumeration DateMarch 19, 2010
Last NPPES UpdateDecember 12, 20245 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1225352289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 7616 (AZ)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
9772 W YEARLING RD STE A1600, Peoria, AZ 85383
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Other Names 1

Doing Business AsVistancia Orthodontics

Other Identifiers 2

Medicaid162964AZ
Medicaid518939AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vistancia Orthodontics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20100430000265Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vistancia Orthodontics, which bills Medicare for the services this clinician delivers.

Clinician (1)

Devin Croft, DDS, MS
Oral Surgery
NPI 1659520617
9772 W YEARLING RD STE A1600
Peoria, AZ 85383
(623) 566-0800
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Croft Orthodontics PLLC's NPI number?

The NPI number for Croft Orthodontics PLLC is 1225352289. It was assigned to this organization in the NPPES registry on March 19, 2010. The provider is doing business as Vistancia Orthodontics.

Where is Croft Orthodontics PLLC located?

Croft Orthodontics PLLC is located at 9772 W Yearling Rd Ste A1600, Peoria, AZ 85383. The listed phone number is (623) 566-0800.

What is Croft Orthodontics PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

Is Croft Orthodontics PLLC enrolled in Medicare?

Yes. Croft Orthodontics PLLC is registered in the Medicare PECOS enrollment system.

When is Croft Orthodontics PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Croft Orthodontics PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Croft Orthodontics PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Croft Orthodontics PLLC was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.