OrganizationActive
Mccormack Dental Imaging
NPI 1104286996 · Dental Laboratory · Encinitas, CA
Mccormack Dental Imaging is a Dental Laboratory organization in Encinitas, CA (NPI 1104286996).
Provider details
- NPI number
- 1104286996
- Entity type
- Organization
- Primary specialty
- Dental LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jerome Peck, Ceo(415) 421-1389
- License
- RHP00053519 (CA)
Specialties & taxonomies
Laboratories
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
317 N El Camino Real
Ste. 301
Encinitas, CA 92024-2811
Phone: (760) 942-2133
Street-level locationGet directions
Mailing address
450 Sutter St
San Francisco, CA 94108-4206
Registry dates
- Enumerated
- 2016-03-07
- Last updated
- 2016-03-07
Frequently asked questions
- What is Mccormack Dental Imaging's NPI number?
- Mccormack Dental Imaging's National Provider Identifier (NPI) is 1104286996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mccormack Dental Imaging?
- Mccormack Dental Imaging is classified in the NPPES registry as Dental Laboratory (Laboratories).
- Where is Mccormack Dental Imaging located?
- Mccormack Dental Imaging's practice location on file with NPPES is 317 N El Camino Real, Encinitas, CA 92024-2811.
- What is Mccormack Dental Imaging's phone number?
- The practice phone number listed in the NPPES registry for Mccormack Dental Imaging is (760) 942-2133.
- Who is the authorized official for Mccormack Dental Imaging?
- The authorized official listed on Mccormack Dental Imaging's NPPES record is Jerome Peck, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mccormack Dental Imaging's NPI active?
- Yes — Mccormack Dental Imaging's NPI (1104286996) is active in the NPPES registry as of the last update on 2016-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.