Individual provider Active NPI

Dallan R Packard, D.C.

  • Chiropractor
  • Auburn, CA
National Provider Identifier
1861421703
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33888 Issued in CA
Practice address
10988 Combie Rd Ste 100
Auburn, CA 95602-8987
Phone
(530) 268-1386
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33888 CA Primary

Addresses

Primary practice location

10988 Combie Rd Ste 100
Auburn, CA 95602-8987

Mailing address

10988 Combie Rd Ste 100
Auburn, CA 95602-8987
Phone (530) 268-1386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170920003587 CA Practitioner - Chiropractic 5092734921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10042 Wolf Rd
Suite a
Grass Valley, CA 95949-8192
Phone (530) 268-1386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Packard Health Services, LLC CurrentSince Mar 13, 2017 Accepting new patients

Locations

10988 Combie Rd
Ste 100
Auburn, CA 95602
Phone (530) 268-1386

10042 Wolf Rd
Ste A
Grass Valley, CA 95949
Phone (530) 268-1386

1121 E 3900 S
Ste 222
Salt Lake City, UT 84124
Phone (801) 505-4086

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861421703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10988 COMBIE RD STE 100",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028987",
            "telephone_number": "530-268-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10988 COMBIE RD STE 100",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028987",
            "telephone_number": "530-268-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "DALLAN",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.