DAVE MACK
NPI 1376648154
Military Health Care Provider in Madison, WI

Active since September 14, 2006
1514 DRAKE ST., MADISON, WI 53711(608) 294-9922 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dave Mack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVE MACK (NPI 1376648154) is an individual military health care provider provider in Madison, Wisconsin, licensed in Wisconsin (NA) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1376648154
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameDAVE MACK
Location Address1514 DRAKE ST.Madison, WI 53711
Mailing Address1514 Drake St.Madison, WI 53711
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1376648154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License Licensed in WI · NA
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
1514 DRAKE ST., Madison, WI 53711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dave Mack's NPI number?

The NPI number for Dave Mack is 1376648154. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Dave Mack located?

Dave Mack practices at 1514 Drake St., Madison, WI 53711. The listed phone number is (608) 294-9922.

What is Dave Mack's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Dave Mack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.