Active NPI
Joseph Packard, DDS
- Dentist
- Roy, UT
National Provider Identifier
1144013905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14224016-9926
- Practice address
- 3505 W 4800 S
Roy, UT 84067 - Phone
- (801) 985-3300
- NPI assigned
- May 26, 2025
- Last updated
- May 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14224016-9926 | UT | Primary |
Addresses
Primary practice location
3505 W 4800 S
Roy, UT 84067
Mailing address
3487 South 3150 West
West Haven, UT 84401
Phone (385) 209-9868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14224016-9926 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Packard Dental PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Roy, UT
- NPI 1831421155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748217600000",
"number": "1144013905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3487 SOUTH 3150 WEST",
"city": "WEST HAVEN",
"state": "UT",
"postal_code": "84401",
"telephone_number": "385-209-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 W 4800 S",
"city": "ROY",
"state": "UT",
"postal_code": "84067",
"telephone_number": "801-985-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACKARD",
"first_name": "JOSEPH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-26",
"last_updated": "2025-05-26",
"certification_date": "2025-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "14224016-9926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.