Meredith Haven Packard, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

17220 Issued in TX

Practice address

5100 Eldorado Pkwy
Suite 108
McKinney, TX 75070-6309

Phone

(972) 562-0340

Fax

(972) 540-5681

NPI assigned

Mar 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184754616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 ELDORADO PKWY",
            "address_2": "SUITE 108",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706309",
            "telephone_number": "972-562-0340",
            "fax_number": "972-540-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 ELDORADO PKWY",
            "address_2": "SUITE 108",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706309",
            "telephone_number": "972-562-0340",
            "fax_number": "972-540-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "MEREDITH",
        "middle_name": "HAVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "17220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sullivan Cox Owens, PA-C
• Deborah Oyegoke, NP
• Ekaete Oyeka, MSN, APRN, PMHNP-BC
• Amber Pace, LMSW
• Karah Selene Pack
• Ryan Packard, DDS
• Pacmd Group PLLC (Post Acute Care MD Group)
• Manmeet S Padda, MD
• Elena Padilla, LVN
• Ernesto Lacida Paglinawan, PT

• Orthodontics and Dentofacial Orthopedics Dentistry in McKinney, TX
• Providers in McKinney, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.