Active NPI
Anita L Dock, RD LD CDE
- Registered Dietitian
- Cincinnati, OH
National Provider Identifier
1912988825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD2137
- Practice address
- 9050 Montgomery Rd
Suite B
Cincinnati, OH 45242-7712 - Phone
- (513) 631-6963
- Fax
- (513) 631-1970
- NPI assigned
- Nov 8, 2005
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD2137 | OH | Primary |
Addresses
Primary practice location
9050 Montgomery Rd
Suite B
Cincinnati, OH 45242-7712
Mailing address
9050 Montgomery Rd
Suite B
Cincinnati, OH 45242-7712
Phone (513) 631-6963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD2137 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anita Dock Rd LD LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
4881 Cooper Rd
Cincinnati, OH 45242
Phone (513) 417-4769
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1912988825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9050 MONTGOMERY RD",
"address_2": "SUITE B",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452427712",
"telephone_number": "513-631-6963",
"fax_number": "513-631-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9050 MONTGOMERY RD",
"address_2": "SUITE B",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452427712",
"telephone_number": "513-631-6963",
"fax_number": "513-631-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCK",
"first_name": "ANITA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RD LD CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD2137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.