P. Craig Packer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4741793 Issued in UT

Practice address

88 E State St
Farmington, UT 84025-2343

Phone

(801) 451-2341

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rock Hotel Dental, LLC

  • General Practice Dentistry
  • Farmington, UT
  • NPI 1598880783
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295850469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "address_2": "88 E STATE ST",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840250220",
            "telephone_number": "801-451-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 E STATE ST",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252343",
            "telephone_number": "801-451-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "P.",
        "middle_name": "CRAIG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "4741793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orn Industries, LLC
• Michelle L Owen-Hutchens
• Tyson Pace, MS, ATC, LAT
• Jaqueline Pack, LCSW
• P. Berrett Packer, DDS
• Jason Painter, DC
• Bradley C Palmer, DDS
• Brian Scott Palmer, D.D.S
• Linda Laura Palmer, DC
• Maycee Palmer, RBT

• General Practice Dentistry in Farmington, UT
• Providers in Farmington, UT by specialty
• General Practice Dentistry in Utah

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.