Meredith C Mock DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

21170 Issued in CA

Legal business name

MEREDITH C MOCK DDS INC

Practice address

3727 N 1St St
Suite 102
Fresno, CA 93726-5628

Phone

(559) 229-3541

NPI assigned

Nov 15, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Meredith Cole Mock, DDSNPI 1144427048

Title

President Dentist

Phone

(559) 229-3541

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meredith Cole Mock, D.D.S.

  • Dentist
  • Fresno, CA
  • NPI 1144427048
  NPD (past) Authorized official

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780666974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 N 1ST ST",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265628",
            "telephone_number": "559-229-3541",
            "fax_number": "559-229-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 N 1ST ST",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265628",
            "telephone_number": "559-229-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH C MOCK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "COLE",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "559-229-3541",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "21170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTALS STATE GOVER",
            "identifier": "B2117001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merced Hospice, Inc (Fresno Hospice)
• Jennifer Mercer
• Mercy a. Halverson (Zendner Histology Laboratory)
• Mercy Air Service, Inc. (SkyLife)
• Doca Merdjanoska
• Meredith Woodward MD Inc
• Abigail Ellery Meredith, NP
• Meridian Health Care Services, Inc. (Saint Jude Manor)
• Meridian Health Care Services, Inc. (St. Joseph Gardens)
• Meridian Health Care Services, Inc. (Saint Clare Home)

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.