Paul P. Bock DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D20820 Issued in CA

Legal business name

PAUL P. BOCK DDS INC.

Practice address

4100 Portola Dr
Suite 3
Santa Cruz, CA 95062-4500

Phone

(831) 475-1566

NPI assigned

Sep 11, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Philip Bock, D.D.S.

Title

Owner

Phone

(831) 475-1566

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1093048860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 PORTOLA DR.",
            "address_2": "SUITE 3",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624500",
            "telephone_number": "831-475-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 PORTOLA DR",
            "address_2": "SUITE 3",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624500",
            "telephone_number": "831-475-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL P. BOCK DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-475-1566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D20820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Patton, M.S. A.B.D. M.F.T.I.
• Mary Judith Patton
• Philips Patton, L.AC.
• Mary Patz, MD
• Paul Luther MD, a Professional Corporation
• Nathan Paul, DPT
• Justine Elaine Wiley Pawliuk
• Chelsea Payan
• Anna Payne
• Audrey Elizabeth Payne

• General Practice Dentistry in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.