Active NPI
John Dock, MSCCCA-A
- Audiologist
- Springfield, MO
National Provider Identifier
1457436735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 113808
- Practice address
- 1001 E Primrose St
Springfield, MO 65807-5155 - Phone
- (417) 875-3600
- Fax
- (417) 875-3625
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 001241 | MO | |
| Audiologist | 231H00000X | 113808 | MO | Primary |
| Specialist | 174400000X | 113808 | MO |
Addresses
Primary practice location
1001 E Primrose St
Springfield, MO 65807-5155
Mailing address
PO Box 9007
Springfield, MO 65808-9007
Phone (417) 875-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457436735 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090115000022 | MO | Practitioner - Qualified Audiologist | 8224191341 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lester E Cox Medical Centers
Practice addresses (Care Compare)
960 E Walnut Lawn
Ferrell Duncan Clinic
Springfield, MO 65807-7506
Phone (417) 875-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.25 of 100
- Quality
- 64.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001241 | MO | MD | Professional Counselor |
| 113808 | MO | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Springfield Ear Nose Throat & Facial Plastic Surgery | Specialist | Past | Accepting new patients |
| Northland Hearing Centers, Inc. | Past | Accepting new patients |
Locations
1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434
Organizations & group practices 3
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.
-
- Specialist
- Springfield, MO
- NPI 1811028186
-
- Hearing and Speech Clinic/Center
- Eden Prairie, MN
- NPI 1225070667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1457436735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658089007",
"telephone_number": "417-875-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E PRIMROSE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075155",
"telephone_number": "417-875-3600",
"fax_number": "417-875-3625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCK",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "MSCCCA-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MO",
"license": "001241",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "113808",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "113808",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457436735",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.