Organization Active NPI

Christopher K Mocek MD PA

  • Pain Medicine Physician
  • Little Rock, AR
National Provider Identifier
1255799656
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
CHRISTOPHER K MOCEK MD PA
Practice address
9101 Kanis Rd Ste 400
Little Rock, AR 72205-6450
Phone
(501) 224-4001
Fax
(501) 224-4003
NPI assigned
Feb 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Dr. Christopher K Mocek, M.D.NPI 1821050618
Title
Owner
Phone
(501) 224-4001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X AR
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X AR Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X AR

Addresses

Primary practice location

9101 Kanis Rd Ste 400
Little Rock, AR 72205-6450

Mailing address

9101 Kanis Rd, Ste 400
Little Rock, AR 72205-6456
Phone (501) 224-4001

Other identifiers 1

IdentifierTypeStateIssuer
131987001MedicaidAR

Other names 1

  • The Mocek Spine Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170405001109 AR Part B Supplier - Clinic/Group Practice 8224314216 Receives reassigned benefits from 5 practitioners
Practice locations: Bryant, AR; Stuttgart, AR; Little Rock, AR
O20170825002942 AR DME Supplier - Physician - Physical and Rehabilitation 8224314216 Practice locations: Little Rock, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D1101497Christopher K Mocek, MD9101 Kanis Rd, Suite 400, Little Rock, AR 72205AccreditationNov 18, 2026
04D2327151Christopher K Mocek MD PA9101 Kanis Rd Ste 400, Little Rock, AR 72205Certificate of waiverJul 16, 2027

National Provider Directory

National Provider Directory

Locations

9101 Kanis Rd
Little Rock, AR 72205
Phone (501) 224-7226

1703 N Buerkle St
Ste 5
Stuttgart, AR 72160
Phone (870) 541-6060

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1255799656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 KANIS RD, STE 400",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056456",
            "telephone_number": "501-224-4001",
            "fax_number": "501-224-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 KANIS RD STE 400",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056450",
            "telephone_number": "501-224-4001",
            "fax_number": "501-224-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER K MOCEK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "MOCEK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-224-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AR",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131987001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mocek Spine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.