OrganizationActive
Michelle C. Crocker, DMD, PC
NPI 1235456153 · Dentist · Portland, OR
Provider details
- NPI number
- 1235456153
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Michelle Crocker, President(503) 515-6092
- License
- D8443 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11786 Sw Barnes Rd Ste 320
Portland, OR 97225-5930
Phone: (503) 641-3550
Street-level locationGet directions
Mailing address
13195 Sw Shore Dr
Tigard, OR 97223-1683
Registry dates
- Enumerated
- 2010-05-02
- Last updated
- 2010-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.