Crutchfield Pediatric Dental Group
NPI 1033639463ActiveOrganization· Dentist, Pediatric Dentistry· Rocklin, CA
Dentist, Pediatric Dentistry in Rocklin, California, registered in NPPES in June 2017. The authorized official on file is Jude Crutchfield, DMD, Owner.
Overview
| NPI | 1033639463 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 27, 2017 |
| Last updated in NPPES | Oct 24, 2024 |
| Certified by provider | Oct 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 58211 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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