DR. DAVID RAY MACK


Address: 11536 S 31st St, Bellevue, NE 68123-5529
Phone: 4022914468

DR. DAVID RAY MACK (NPI# 1205944923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205944923
Entity Type Individual
Full Name DR. DAVID RAY MACK
Practice Address 11536 S 31st St
Bellevue
NE 68123-5529
Practice Telephone 4022914468
Practice Fax Number 4029332014
Mailing Telephone 4022914468
Mailing Fax Number 4029332014
Enumeration Date 2006-08-25
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
6375 NE Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NE 10025213600 05

Other Providers DAVID MACK

NPI Name Taxonomy Address Enumeration
1487927547 David B Mack Speech-Language Pathologist 15055 W 87th St Parkway, Lenexa, KS 66215 2012-02-20
1457480741 David P Mack Dentist 27855 Plymouth Rd, Livonia, MI 48150-2322 2007-03-05
1811041056 David R Mack Psychiatry & Neurology 505 W Northern Lights Blvd, Anchorage, AK 99503-2552 2007-01-23
1346316700 David Charles Mack Social Worker 7214 E Camino Vecino, Tucson, AZ 85715-3416 2006-11-28
1679555908 David A Mack Obstetrics & Gynecology 1810 East 19th St, Suite 209, The Dalles, OR 97058 2005-11-14
1952865354 David Mack Case Manager/Care Coordinator 4460 S Highland Dr, Salt Lake City, UT 84124-3543 2019-01-30
1023512340 David Wentworth Mack Student in an Organized Health Care Education/Training Program 13001 E 17th Pl, Aurora, CO 80045-2570 2018-03-21
1497271621 David Mack Licensed Vocational Nurse 1045 9th Ave, San Diego, CA 92101-5504 2017-08-18
1588059984 David Mack Emergency Medicine 100 N Academy Ave, Danville, PA 17822-9800 2015-04-02
1396966818 David A. Mack Internal Medicine 4th Hospital Dr, Charlottesville, VA 22908-0001 2007-05-01

Office Location

Street Address 11536 S 31ST ST
City BELLEVUE
State NE
Zip Code 68123-5529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346502598 David R. Mack, Dds, PC Dentist 11536 S 31st St, Bellevue, NE 68123-5529 2012-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407482227 Gloria Pettigrew-fletcher Community Health Worker 12432 A 36th St, C20, Bellevue, NE 68123 2020-03-13
1225480676 Heidi Jean Mccoy Dentist 2110 Towne Centre Drive, Bellevue, NE 68123 2016-07-11
1538557442 Mariam Abdelghany I Physician Assistant 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 2014-12-30
1205243367 Sara Johnson Pharmacist 3614 Twin Creeks Drive, Bellevue, NE 68123 2014-07-21
1174826747 Francine Amy Drummond Dentist 1701 Independence Lane #22, Bellevue, NE 68123 2010-12-21
1053509588 Dunlow Orthodontics, P.C. Dentist 2219 Capehart Road, Suite 102, Bellevue, NE 68123 2007-10-10
1801911870 Michelle Lynn Gaeth Dentist 11536 S. 31st St., Bellevue, NE 68123 2007-03-20
1386789832 Mary Monique Rotert Psychologist 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 2007-02-21
1316084098 Kevin B Jones Family Medicine 3308 Samson Way Ste 102, Bellevue, NE 68123 2007-01-31
1467529727 Nebraska Medical Center Pharmacy 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 2006-11-29
Find all providers in zip 68123

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447864301 Ruei-hua Wang Dentist 1545 116th Ave Ne Ste 100, Bellevue, WA 98004-3813 2020-09-08
1043774599 Priyanka Sharma,dds,pllc Dentist 14655 Ne Bel Red Rd Ste 104, Bellevue, WA 98007-3900 2019-01-29
1750819959 Xue Du Dentist 15613 Bel Red Rd Ste C, Bellevue, WA 98008-2348 2017-06-01
1235582545 Jensen & Brown, Dds Dentist 11 105th Ave Se Ste 11, Bellevue, WA 98004-6281 2016-07-21
1366890139 Zalak Daftary Dentist 12245 Ne 3rd Pl, Bellevue, WA 98005-4821 2016-06-02
1659735199 F Dahm Dds Pllc Dentist 1951 152nd Pl Ne Ste 108, Bellevue, WA 98007-4209 2016-04-11
1174923817 Hyunji Byun Dentist 5723 111th Ave Se, Bellevue, WA 98006-2609 2014-08-29
1225447436 Quirt Family Dentistry, Sc Dentist 2014 Lime Kiln Rd, Suite 300, Bellevue, WI 54311 2014-08-13
1679904353 David Aronowitz Dentist 3006 Northup Way Ste 102, Bellevue, WA 98004-1445 2013-12-06
1407291537 Lake Bellevue Dental Care, Inc Dentist 1 Lake Bellevue Dr Ste 108, Bellevue, WA 98005-2417 2013-05-02
Find all providers in BELLEVUE

Competitor

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City BELLEVUE
Zip Code 68123

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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