Active NPI
Diana S Mock, DO
- Obstetrics & Gynecology Physician
- Omak, WA
National Provider Identifier
1386674943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- DO14182
- Practice address
- 105 Nichols Rd
Omak, WA 98841-9771 - Phone
- (509) 429-5121
- NPI assigned
- Jul 3, 2006
- Last updated
- Oct 20, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DO14182 | OR | Primary |
Addresses
Primary practice location
105 Nichols Rd
Omak, WA 98841-9771
Mailing address
105 Nichols Rd
Omak, WA 98841-9771
Phone (509) 429-5121
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO14182 | OR | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1386674943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 NICHOLS RD",
"city": "OMAK",
"state": "WA",
"postal_code": "988419771",
"telephone_number": "509-429-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 NICHOLS RD",
"city": "OMAK",
"state": "WA",
"postal_code": "988419771",
"telephone_number": "509-429-5121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCK",
"first_name": "DIANA",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "DO14182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omak, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.