Active NPI
Mary Rock, DDS
- General Practice Dentistry
- Council Bluffs, IA
National Provider Identifier
1861467920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 09519
- Practice address
- 1840 Madison Ave Ste 1
Council Bluffs, IA 51503-5292 - Phone
- (712) 308-8886
- Fax
- (712) 308-8908
- NPI assigned
- Feb 22, 2006
- Last updated
- Oct 14, 2026
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 09519 | IA | Primary |
Addresses
Primary practice location
1840 Madison Ave Ste 1
Council Bluffs, IA 51503-5292
Mailing address
3740 Coors Blvd NW
Albuquerque, NM 87120-4762
Phone (505) 836-1280
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2479 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary P Rock | Current | Accepting new patients |
Locations
1840 Madison Ave
Ste 1
Council Bluffs, IA 51503
Phone (505) 228-3130
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791936000000",
"number": "1861467920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3740 COORS BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871204762",
"telephone_number": "505-836-1280",
"fax_number": "505-839-4782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 MADISON AVE STE 1",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515035292",
"telephone_number": "712-308-8886",
"fax_number": "712-308-8908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCK",
"first_name": "MARY",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "09519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.