Anthony Glenn Mock, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

29866 Issued in CA

Practice address

2701 Decoto Rd
Suite 1
Union City, CA 94587-4940

Phone

(510) 489-6900

Fax

(510) 324-1759

NPI assigned

Sep 20, 2006

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amock12232@alamedahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alameda Health System

  • Surgery Physician
  • Oakland, CA
  • NPI 1740332931
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235237330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 BUENA VISTA AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946182147",
            "telephone_number": "510-489-6900",
            "fax_number": "510-324-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DECOTO RD",
            "address_2": "SUITE 1",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874940",
            "telephone_number": "510-489-6900",
            "fax_number": "510-324-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "ANTHONY",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "29866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nedda Shakib Misherghi, O.D.
• Asiatique Mitchell
• Michelle Xiaoqi Mo, O.D.
• Mobile Care Medical Group, Inc
• Mobile Prosthetics and Orthotics LLC
• Ahmed Abdalla Mohamed
• Nilab Mohammad Rahim
• Larai Mohammed
• Muniba Mohammed, M.D.
• Sarah Mohammed, SLPA

• Dentist in Union City, CA
• Providers in Union City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.