NPIMap

Organization Active NPI

Harold Packman, DMD, PA

  • Periodontics
  • Bowie, MD
National Provider Identifier
1093848319
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5163 Issued in MD
Legal business name
HAROLD PACKMAN, DMD, PA
Practice address
14999 Health Center Dr
Suite 110
Bowie, MD 20716-1074
Phone
(301) 262-2800
Fax
(301) 262-6411
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Harold Packman, DMDNPI 1669502266
Title
Owner
Phone
(301) 262-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 5163 MD Primary

Addresses

Primary practice location

14999 Health Center Dr
Suite 110
Bowie, MD 20716-1074

Mailing address

14999 Health Center Dr
Suite 110
Bowie, MD 20716-1074
Phone (301) 262-2800

National Provider Directory

National Provider Directory

Locations

14999 Health Center Dr
Ste 110
Bowie, MD 20716
Phone (301) 262-2800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093848319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14999 HEALTH CENTER DR",
            "address_2": "SUITE 110",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161074",
            "telephone_number": "301-262-2800",
            "fax_number": "301-262-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14999 HEALTH CENTER DR",
            "address_2": "SUITE 110",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161074",
            "telephone_number": "301-262-2800",
            "fax_number": "301-262-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD PACKMAN, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACKMAN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-262-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "5163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.