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Deactivated NPI 1477540151 Deactivated / Inactive NPI Female Practitioner

Dr. Judy Elaine Pack , DC

Chiropractor • Fresno, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Judy Pack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2005
NPI Deactivation Date March 01, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Judy Pack, DC was a registered Chiropractor practicing in Fresno, CA. Throughout an active medical career spanning 18 years, Dr. Pack provided care at the practice location at 4035 N FRESNO until profile deactivation on 2023-03-01.

Practice Location & Contact Primary Location

Practice Address

4035 N Fresno
#103

Fresno, CA 937264041

Telephone 5592275301
Fax 5592273708

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
130 Specialists

Practicing in Fresno, CA (12100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CA DC12782

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. John Lee , DC

Chiropractor

NPI 1982759155

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 01, 2023

Record deactivated on March 01, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4035 N FRESNO, #103, FRESNO, CA 937264041 (Tel: 5592275301)

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Updated Business Mailing Address July 08, 2007

Registered at 4035 N FRESNO, #103, FRESNO, CA 937264041 (Tel: 5592275301)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JUDY PACK, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #DC12782 in CA)

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Initial NPI Registration & Enumeration September 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477540151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2005
Last Update: July 08, 2007
Deactivation Date: March 01, 2023

Mailing Address

4035 N Fresno, #103

Fresno, CA 937264041

Phone: 5592275301

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.