NPPES file of Aug 9, 2026

Jordan P. Crocker, DMD

General Practice Dentistry · Vicksburg, MS

Jordan P. Crocker, DMD is a general practice dentistry with a practice address in Vicksburg, Mississippi, and NPI 1982952115, issued on Aug 20, 2012. Check the license (Mississippi 3672-12, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1982952115
Name
Jordan P. Crocker
Credential
DMD
Primary taxonomy
General Practice Dentistry 1223G0001X
License number
3672-12 MS
Self-reported in NPPES; status is on the state search
Practice location
109 Monument PL, Vicksburg, MS 39180
Phone
(601) 638-3661
Enumerated
Aug 20, 2012
Record last updated
Dec 7, 2018 (not updated in 8 years: call before relying on the address or phone)
Fax
(601) 631-0401
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Jordan P. Crocker in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
    Search for license 3672-12
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Mississippi license search

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2.9 times the Medicare Part D claims of the average general practice dentistry in 2024

239 Medicare Part D claims for 112 beneficiaries, against an average of 83 among the 70,290 providers of this specialty who prescribed in Part D. 56 claims were for opioids.

  1. Jordan Crocker239
  2. Specialty average83

Most prescribed

  1. Amoxicillin83 claims
  2. Hydrocodone-Acetaminophen54 claims
  3. Chlorhexidine Gluconate37 claims
  4. Clindamycin Hcl19 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $13.90

1 payment: food and beverage; the largest payer was Colgate Oral Pharmaceuticals, Inc. The 41,669 providers of this specialty with any payment received $597.01 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jordan Crocker$13.90
  2. Specialty average$597.01

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Jordan P. Crocker among 845 general practice dentistry records in Mississippi

Jordan P. Crocker, DMD is one of 845 general practice dentistry records with a practice address in Mississippi. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 67% of them.

  • NPI issued2012 · 67% of these records are older, 31% newer
  • In a Medicare fileYes · 70% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2018 · 74% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

16 general practice dentistry records list a practice address in Vicksburg

They are 16 of the 708 NPPES records with a practice address in Vicksburg, and 845 general practice dentistry records in Mississippi.

The 8 general practice dentistry records with the nearest ZIP codes

  1. Robert Abraham, DDSVicksburg, MS 391801851603260
  2. Misty Austin, DMDVicksburg, MS 391801528493442
  3. Paul Ballard, DMDVicksburg, MS 391801285845024
  4. Martin Chaney, D.M.D.Vicksburg, MS 391801821150194
  5. Michael Ellis, D.M.D.,P.A.Vicksburg, MS 391801619995743
  6. Donald JacksonVicksburg, MS 391801760500649
  7. Kenneth Nash, DDSVicksburg, MS 391801609030642
  8. Jonathan Nash, D.D.S.Vicksburg, MS 391801821441858

Common questions

What is Jordan P. Crocker, DMD's NPI number?

Jordan P. Crocker, DMD's National Provider Identifier (NPI) is 1982952115, issued on Aug 20, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Jordan P. Crocker, DMD located?

The NPPES record lists a practice address at 109 Monument PL, Vicksburg, MS, 39180. Phone: (601) 638-3661. Providers update this record themselves, so call before visiting.

How can I verify Jordan P. Crocker, DMD's license?

NPPES lists Mississippi license number 3672-12, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.

How much does Jordan P. Crocker, DMD prescribe under Medicare Part D?

In 2024, Jordan P. Crocker, DMD had 239 Medicare Part D claims for 112 beneficiaries; the average among general practice dentistry prescribers was 83. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.