NPIMap

Organization Active NPI

Packard Dental Group Inc.

  • Customized Equipment (DME)
  • Carlsbad, CA
National Provider Identifier
1174955868
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
PACKARD DENTAL GROUP INC.
Practice address
725 Grand Ave
Carlsbad, CA 92008-2331
Phone
(760) 729-4904
Fax
(760) 729-3132
NPI assigned
Aug 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Dr. Mark D. Packard, D.M.D.NPI 1689776767
Title
Dr/Owner
Phone
(760) 729-4904

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
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

725 Grand Ave
Carlsbad, CA 92008-2331

Mailing address

725 Grand Ave
Carlsbad, CA 92008-2331
Phone (760) 729-4904

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1174955868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GRAND AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082331",
            "telephone_number": "760-729-4904",
            "fax_number": "760-729-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GRAND AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082331",
            "telephone_number": "760-729-4904",
            "fax_number": "760-729-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACKARD DENTAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "760-729-4904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.