MARK D PACKARD (NPI# 1689776767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689776767 |
| Entity Type | Individual |
| Full Name | MARK D PACKARD |
| Credential | DMD |
| Practice Address |
725 Grand Ave Carlsbad CA 92008 |
| Practice Telephone | 7607294904 |
| Practice Fax Number | 7607293132 |
| Mailing Telephone | 7607294904 |
| Mailing Fax Number | 7607293132 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30430 | CA | Dental Providers |
| Street Address |
725 GRAND AVE |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174955868 | Packard Dental Group Inc. | Durable Medical Equipment & Medical Supplies | 725 Grand Ave, Carlsbad, CA 92008-2331 | 2013-08-05 |
| 1649525247 | Jared Carter Packard | Dentist | 725 Grand Ave, Carlsbad, CA 92008-2331 | 2012-07-19 |
| 1023306891 | Matthew Stephen Packard | Dentist | 725 Grand Ave, Carlsbad, CA 92008-2331 | 2011-07-14 |
| 1043386105 | Benjamin Joseph Mcevoy | Dentist | 725 Grand Ave, Carlsbad, CA 92008-2331 | 2006-11-28 |
| 1861585804 | Packard Dental Group Inc | Dentist | 725 Grand Ave, Carlsbad, CA 92008 | 2006-10-02 |
| 1588757538 | Scott R Holyoak | Dentist | 725 Grand Ave, Carlsbad, NM 92008 | 2006-10-02 |
| 1356443428 | Forrest L Packard | Dentist | 725 Grand Ave, Carlsbad, CA 92008 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
| Find all providers in zip 92008 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932141 | Jason T Garland | Dentist | 7892 Sitio Mirto, Carlsbad, CA 92009-6999 | 2020-11-05 |
| 1194274381 | Alexander John Erwin | Dentist | 300 Carlsbad Village Dr Ste 203, Carlsbad, CA 92008-2990 | 2016-09-28 |
| 1396113668 | Anita Omidi, D.d.s. PC | Dentist | 1273 Las Flores Drive, Carlsbad, CA 92008-1030 | 2015-09-03 |
| 1003211327 | Carlsbad Dental Arts | Dentist | 2521 Palomar Airport Rd, Suite 102, Carlsbad, CA 92011-1511 | 2014-10-29 |
| 1366847782 | John C Nosti Dental Corporation | Dentist | 7625 Via Campanile, Suite 130, Carlsbad, CA 92009-8489 | 2014-10-28 |
| 1982954855 | All Smiles Family Dental Clinics, LLC | Dentist | 701 N Canal St Ste A, Carlsbad, NM 88220-5876 | 2012-09-18 |
| 1962786301 | Stephen Richard Dankworth | Dentist | 7730 Rancho Santa Fe Rd, Suite 106, Carlsbad, CA 92009-8688 | 2011-10-04 |
| 1225316607 | A Lapsi Dds Inc. | Dentist | 7740 El Camino Real, Suite #c, Carlsbad, CA 92009-8513 | 2011-08-02 |
| 1982903084 | Mojgan Arjmandi | Dentist | 6200 Citracado Cir, Carlsbad, CA 92009-2285 | 2011-03-15 |
| 1023337474 | Bressi Ranch Family Dentistry | Dentist | 6221 Metropolitan St Ste 200, Carlsbad, CA 92009-3096 | 2010-05-25 |
| Find all providers in CARLSBAD | ||||
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| 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.