Active NPI
Christopher K Mocek MD PA
- Pain Medicine Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | AR | ||
| Pain Medicine Physician | 208VP0000X | AR | Primary | |
| Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131987001 | Medicaid | AR |
Other names 1
- The Mocek Spine Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D1101497 | Christopher K Mocek, MD | Accreditation | Nov 18, 2026 |
| 04D2327151 | Christopher K Mocek MD PA | Certificate of waiver | Jul 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.