Diego McKay Bock

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

J000-030-241-400 Issued in MN

Practice address

3541 Minnehaha Ave Apt 1
Minneapolis, MN 55406-2697

Phone

(612) 434-7001

NPI assigned

Jul 13, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1124865316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062696",
            "telephone_number": "612-434-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 MINNEHAHA AVE APT 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062697",
            "telephone_number": "612-434-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "DIEGO",
        "middle_name": "MCKAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "MN",
            "license": "J000-030-241-400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynn Bobbitt, DPM
• Stacy Bobek
• Natalie Ann Bobick
• Olena Bocharnikov, RN
• Adam Neil Bock, MD
• Kirsten Bock, AU.D
• Mitchell Bockenstedt, ATC
• Walter O Bockting, PHD
• Zachary Bodeau, LPCC, MA
• Lora Janelle Bodell

• Attendant Care Provider in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Attendant Care Provider in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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.