PACKARD ORTHODONTICS PA (NPI# 1114045267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114045267 |
| Entity Type | Organization |
| Organization Name | PACKARD ORTHODONTICS PA |
| Other Organization Name | APPLE ORTHODONTIX |
| Practice Address |
840 Central Pkwy E Suite 100 Plano TX 75074-5551 |
| Practice Telephone | 9725787800 |
| Practice Fax Number | 9728679211 |
| Mailing Telephone | 9725787800 |
| Mailing Fax Number | 9728679211 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-04-27 |
| Authorized Official Name | MS. VICTORIA M. HAWKINS (OPERATIONS MANAGER) |
| Authorized Official Telephone | 9725787800 |
| Authorized Official Credential | RDA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
13930 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 171851201 | 05 |
| Other Name | Type Code |
|---|---|
| Apple Orthodontix | Doing Business As Name - Organization |
| Street Address |
840 CENTRAL PKWY E SUITE 100 |
| City | PLANO |
| State | TX |
| Zip Code | 75074-5551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699939736 | Joseph M Whitesides | Dentist | 840 Central Pkwy E, Suite 100, Plano, TX 75074-5551 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003433764 | All Meds Rx | Pharmacy | 2520 Avenue K, Suite 600, Suite 600, Plano, TX 75074 | 2020-06-29 |
| 1457985582 | Neighborhood Portable X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K Suite 109, Plano, TX 75074 | 2020-02-27 |
| 1063044113 | Q Day Walk In Clinic and Spa, LLC | Clinic/Center | 3560 East Park Blvd., Plano, TX 75074 | 2020-02-06 |
| 1891326765 | Kelly Joe Stanley | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K, 109, Plano, TX 75074 | 2020-01-30 |
| 1568016137 | Virtex Assist, Pllc | Physician Assistant | 101 E Park Blvd Suite 600, Plano, TX 75074 | 2019-07-31 |
| 1154804128 | Norte Service Providers LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2917 Duchess Trail, Plano, TX 75074 | 2018-09-14 |
| 1386124428 | Jakayla Nekelle Price | Occupational Therapist | 3612 Kite Landing Ln., Plano, TX 75074 | 2018-08-17 |
| 1568948834 | Sarah Lindsey Binion | Counselor | 101 East Park Blvd., Suite 600, Plano, TX 75074 | 2018-07-19 |
| 1659865327 | Tim Ford | Technician, Other | 6829 Ave K, Suite 105, Plano, TX 75074 | 2018-06-18 |
| 1043708019 | Oak Point Surgical Suites LLC | Clinic/Center | 2201 K Ave Ste B-100, Plano, TX 75074 | 2018-04-25 |
| Find all providers in zip 75074 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689109977 | Scott Law Ortho Corp, PC | Dentist | 840 Central Pkwy E Ste 100, Plano, TX 75074-5569 | 2017-04-25 |
| 1093254013 | Mark T. Padilla, Pllc | Dentist | 3555 National Dr, Ste 300, Plano, TX 75025 | 2017-02-23 |
| 1003242660 | Willow Bend Orthodontics, Pllc | Dentist | 5400 W Plano Pkwy Ste 250, Plano, TX 75093-4854 | 2013-09-16 |
| 1538390091 | David Charles Becka | Dentist | 609 W 15th St Ste 130, Plano, TX 75075-8862 | 2009-07-31 |
| 1780843383 | Sarah Cathryn Pollan | Dentist | 5800 Coit Rd Ste 500, Plano, TX 75023-5946 | 2008-06-09 |
| 1871715144 | George Quinlan Adams | Dentist | 2845 Parkwood Blvd. #100, Plano, TX 75093 | 2007-05-03 |
| 1770616880 | Xiaohong Chu | Dentist | 4105 W Spring Creek Pkwy Ste 506, Plano, TX 75024-5302 | 2007-03-14 |
| 1811035181 | Patrick Chen | Dentist | 4865 Hedgcoxe Rd, Suite # 200, Plano, TX 75024-2406 | 2007-02-01 |
| 1790861888 | Gerald Kyle Crain | Dentist | 6837 Coit Rd, Plano, TX 75024-5417 | 2006-10-31 |
| 1003908104 | Stephen Paul Rayburn | Dentist | 2831 W Parker Rd, Suite 1, Plano, TX 75023-7936 | 2006-09-28 |
| Find all providers in PLANO | ||||
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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.