Active NPI
Murray Dock DDS MSD @ Lisa Rudolph DMD MPH LLP
Doing business as Montgomery Pediatric Dentistry
- Pediatric Dentistry
- Cincinnati, OH
National Provider Identifier
1750974903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- MURRAY DOCK DDS MSD @ LISA RUDOLPH DMD MPH LLP
- Doing business as
- Montgomery Pediatric Dentistry
- Practice address
- 4881 Cooper Rd
Cincinnati, OH 45242-6902 - Phone
- (513) 891-0660
- Fax
- (513) 791-4925
- NPI assigned
- Feb 18, 2021
- Last updated
- Feb 18, 2021
- 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. Murray Dock, DDS MSD
- Title
- Doctor/Owner
- Phone
- (513) 891-0660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
4881 Cooper Rd
Cincinnati, OH 45242-6902
Mailing address
4881 Cooper Rd
Cincinnati, OH 45242-6902
Phone (513) 891-0660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093031742 | Other | OH | DENTAL |
| 1548321607 | Other | OH | DENTAL |
Other names 1
- Montgomery Pediatric Dentistry
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Cincinnati | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613606400000",
"number": "1750974903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4881 COOPER RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452426902",
"telephone_number": "513-891-0660",
"fax_number": "513-791-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4881 COOPER RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452426902",
"telephone_number": "513-891-0660",
"fax_number": "513-791-4925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MURRAY DOCK DDS MSD @ LISA RUDOLPH DMD MPH LLP",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-18",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A",
"authorized_official_last_name": "DOCK",
"authorized_official_first_name": "MURRAY",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "513-891-0660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS MSD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL",
"identifier": "1093031742",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL",
"identifier": "1548321607",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Cincinnati",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4881 Cooper Rd",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452426902",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Montgomery Pediatric Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.