Harold Packman, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

5163 Issued in MD

Practice address

7600 Ritchie Hwy
Glen Burnie, MD 21061-3718

Phone

(410) 761-3335

NPI assigned

Mar 6, 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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 15, 2015 through Jun 15, 2027

Medicare enrollment (NPD)

Not 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.

• Harold Packman, DMD, PA

  • Periodontics
  • Bowie, MD
  • NPI 1093848319
  NPD (past) Authorized official
• Goldman & Packman

  • Periodontics
  • Glen Burnie, MD
  • NPI 1255461760
  NPD (past)

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": "1669502266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 BLACKFOOT DR",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122522",
            "telephone_number": "410-721-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613718",
            "telephone_number": "410-761-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKMAN",
        "first_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "5163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Docia Owusu, CRNP-PMH
• David Arthur Paad, CNM
• Paas LLC
• Jacqueline Pache
• Jeffrey Thomas Pacheco, MD
• Leslie Suzanne Pacobahyba-Levin, APRN
• Neil E. Padgett, M.D.
• Carmeda Padilla
• Akriti Pahari
• Gretchen M Paige, AUD

• Periodontics in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Periodontics in Maryland

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.