Active NPI
Michael D Sock, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Meadowbrook, PA
National Provider Identifier
1144475096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS036956
- Practice address
- 1650 Huntingdon Pike
Suite 219
Meadowbrook, PA 19046-8004 - Phone
- (215) 938-7860
- NPI assigned
- Nov 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS036956 | PA | Primary |
Addresses
Primary practice location
1650 Huntingdon Pike
Suite 219
Meadowbrook, PA 19046-8004
Mailing address
1650 Huntingdon Pike
Suite 219
Meadowbrook, PA 19046-8004
Phone (215) 938-7860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341273600000",
"number": "1144475096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 HUNTINGDON PIKE",
"address_2": "SUITE 219",
"city": "MEADOWBROOK",
"state": "PA",
"postal_code": "190468004",
"telephone_number": "215-938-7860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 HUNTINGDON PIKE",
"address_2": "SUITE 219",
"city": "MEADOWBROOK",
"state": "PA",
"postal_code": "190468004",
"telephone_number": "215-938-7860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCK",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-19",
"last_updated": "2012-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS036956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meadowbrook, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.