Maxwell David Mock, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS041344 Issued in PA

Practice address

315 Pittsburgh St
Springdale, PA 15144-1406

Phone

(724) 274-4330

NPI assigned

Jun 12, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• DRS. Mock Associates in General Dentistry

  • General Practice Dentistry
  • Springdale, PA
  • NPI 1417096470
  NPD (past)

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760912802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 PITTSBURGH ST",
            "city": "SPRINGDALE",
            "state": "PA",
            "postal_code": "151441406",
            "telephone_number": "724-274-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 PITTSBURGH ST",
            "city": "SPRINGDALE",
            "state": "PA",
            "postal_code": "151441406",
            "telephone_number": "724-274-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "MAXWELL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Margaret Geisler
• Jill S Harlan, PAC
• Health Star Physical Therapy, Inc.
• Samantha J Machnik, ATC, PES, SES
• Harold S.David Mock II, DMD
• Frederick Jon Moffitt, DMD
• Lauren Pastucha, O.D.
• Bennett D Richardson, DPT
• David M Sevic, RPH
• Marcy E Sparks, DPT

• General Practice Dentistry in Springdale, PA
• Providers in Springdale, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.