MCCORMACK DENTAL IMAGING (NPI# 1104286996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104286996 |
| Entity Type | Organization |
| Organization Name | MCCORMACK DENTAL IMAGING |
| Practice Address |
317 N El Camino Real Ste. 301 Encinitas CA 92024-2811 |
| Mailing Address |
450 Sutter St Ste. 1542 San Francisco CA 94108-4206 |
| Practice Telephone | 7609422133 |
| Mailing Telephone | 4154211389 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | MR. JEROME N. PECK (CEO) |
| Authorized Official Telephone | 4154211389 |
| Authorized Official Credential | DLXT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 292200000X | Dental Laboratory | RHP00053519 | CA | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598137184 | Mccormack Dental Imaging | Dental Laboratory | 8860 Center Dr, Ste. 340, La Mesa, CA 91942-3068 | 2015-10-22 |
| 1689045718 | Mccormack Dental Imaging | Dental Laboratory | 1550 Hotel Cir N, Ste. 340, San Diego, CA 92108-2901 | 2015-10-15 |
| Street Address |
317 N EL CAMINO REAL STE. 301 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546125 | Linda R Olafson Md Inc | Family Medicine | 317 N El Camino Real, #101, Encinitas, CA 92024-2811 | 2005-08-29 |
| 1558894956 | Mike Wilson | Specialist/Technologist, Other | 317 N El Camino Real, Ste 405, Encinitas, CA 92024-2811 | 2017-04-04 |
| 1053865790 | Coastal Hearing Aid Center | Hearing Instrument Specialist | 317 N El Camino Real, Encinitas, CA 92024-2811 | 2016-08-11 |
| 1144676586 | Anne Foucault | Acupuncturist | 317 N El Camino Real, Ste 408, Encinitas, CA 92024-2811 | 2016-05-04 |
| 1801260773 | Gerald Gollin Md, Inc. | Surgery | 317 N El Camino Real, Ste 502, Encinitas, CA 92024-2811 | 2015-11-16 |
| 1881079986 | Seaside Integrative Medical Center Inc | Family Medicine | 317 N El Camino Real, Suite 406, Encinitas, CA 92024-2811 | 2015-07-30 |
| 1427451202 | Christopher M. Sumer | Hearing Instrument Specialist | 317 N El Camino Real, Ste 501, Encinitas, CA 92024-2816 | 2014-10-07 |
| 1447651831 | El Camino Acupuncture | Acupuncturist | 317 N El Camino Real, Suite 406, Encinitas, CA 92024-2811 | 2014-09-04 |
| 1669892352 | Rachel Pagones | Acupuncturist | 317 N El Camino Real, Suite 406, Encinitas, CA 92024-2811 | 2014-04-21 |
| 1609292275 | Dana Wylie | Massage Therapist | 317 N El Camino Real, Ste 408, Encinitas, CA 92024-2811 | 2014-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 292200000X |
| Grouping | Laboratories |
| Classification | Dental Laboratory |
| A commercial laboratory specializing in the construction of dental appliances that conform to a dentist’s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 1245. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972074367 | Prosomnus Sleep Technologies Inc. | Dental Laboratory | 5860 W Las Positas Blvd Ste 25, Pleasanton, CA 94588-8557 | 2018-12-10 |
| 1982192290 | Dj Dental Lab Inc | Dental Laboratory | 700 N Valley St Ste F-g, Anaheim, CA 92801-3824 | 2018-04-23 |
| 1427587724 | California Dental Arts, LLC | Dental Laboratory | 20421 Pacifica Dr, Cupertino, CA 95014-3013 | 2017-06-08 |
| 1366807950 | C-dental X-ray, Inc | Dental Laboratory | 1900 Olympic Blvd, Ste. 201, Walnut Creek, CA 94596-5037 | 2015-12-23 |
| 1932576220 | Dental Digital Design | Dental Laboratory | 17781 Sky Park Cir # D, Irvine, CA 92614-6103 | 2015-08-21 |
| 1245606847 | C-dental X-ray, Inc. | Dental Laboratory | 362 W Portal Ave, San Francisco, CA 94127-1412 | 2015-08-18 |
| 1750757696 | C-dental X-ray, Inc. | Dental Laboratory | 1475 Cedarwood Ln, Ste. D, Pleasanton, CA 94566-6153 | 2015-08-14 |
| 1639588205 | John Bilder Fund Billingsworth Lab | Dental Laboratory | 7202 Greenleaf Ave, 13303 Philadelphia St, Whittier, CA 90602-1312 | 2014-08-08 |
| 1588915615 | Usc Redmond Imaging Center | Dental Laboratory | 925 W 34th St Ste 319, Los Angeles, CA 90089-0641 | 2012-09-28 |
| 1134493943 | Mike's Dental Lab | Dental Laboratory | 1735 Professional Drive, Sacramento, CA 95825 | 2012-02-27 |
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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.