NPIMap

Organization Active NPI

Packard Orthodontics PA

Doing business as Apple Orthodontix

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Plano, TX
National Provider Identifier
1114045267
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13930 Issued in TX
Legal business name
PACKARD ORTHODONTICS PA
Doing business as
Apple Orthodontix
Practice address
840 Central Pkwy E
Suite 100
Plano, TX 75074-5551
Phone
(972) 578-7800
Fax
(972) 867-9211
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Ms. Victoria M. Hawkins, RDA
Title
Operations Manager
Phone
(972) 578-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 13930 TX Primary

Addresses

Primary practice location

840 Central Pkwy E
Suite 100
Plano, TX 75074-5551

Mailing address

840 Central Pkwy E
Suite 100
Plano, TX 75074-5551
Phone (972) 578-7800

Other identifiers 1

IdentifierTypeStateIssuer
171851201MedicaidTX

Other names 1

  • Apple Orthodontix Doing business as

National Provider Directory

National Provider Directory

Locations

840 Central Pkwy E
Ste 100
Plano, TX 75074

Practitioners & affiliated clinicians

Practitioners 8

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1114045267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 CENTRAL PKWY E",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745551",
            "telephone_number": "972-578-7800",
            "fax_number": "972-867-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 CENTRAL PKWY E",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745551",
            "telephone_number": "972-578-7800",
            "fax_number": "972-867-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACKARD ORTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "972-578-7800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "13930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171851201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Orthodontix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.