DR. JUSTIN J CROCKER D.S.S.
NPI 1245358159
Dentist - General Practice in Roanoke, TX
About Dr. Justin J Crocker D.s.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUSTIN J CROCKER D.S.S. (NPI 1245358159) is an individual general practice provider in Roanoke, Texas, licensed in Texas (19786) and active in the NPI registry since March 2007. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Justin J Crocker D.s.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2015 through January 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76262 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Justin Crocker's NPI number?
The NPI number for Justin Crocker is 1245358159. It was assigned to this individual provider in the NPPES registry on March 27, 2007.
Where is Justin Crocker located?
Justin Crocker practices at 200 E State Highway 114, Roanoke, TX 76262. The listed phone number is (817) 567-8040.
What is Justin Crocker's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Justin Crocker enrolled in Medicare?
No. Justin Crocker has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Justin Crocker accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 9 other insurers list Justin Crocker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Justin Crocker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Dr. Justin J Crocker, D.S.S. · NPI 1245358159
General Practice provider in Roanoke, Texas. Individual provider, active in the CMS NPPES registry since March 27, 2007.
## Identity
- **NPI:** 1245358159 (Entity type: Individual)
- **Enumerated:** March 27, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 19786 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 E STATE HIGHWAY 114, Roanoke, TX 76262
- **Phone:** (817) 567-8040
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1245358159) · Data from the CMS NPPES public registry.