McCormack Dental Imaging
NPI 1689045718ActiveOrganization· Dental Laboratory· San Diego, CA
Dental Laboratory in San Diego, California, registered in NPPES in October 2015. The authorized official on file is Jerome N. Peck, DLXT, Ceo.
Overview
| NPI | 1689045718 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 15, 2015 |
| Last updated in NPPES | Oct 15, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dental Laboratory Primary | 292200000X | RHP00053519 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dental Laboratory providers in San Diego
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