Organization Active NPI

Schrock Chiropractic Clinic, PC

  • Chiropractor
  • Somerset, PA
National Provider Identifier
1043448665
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003051L Issued in PA
Legal business name
SCHROCK CHIROPRACTIC CLINIC, PC
Practice address
441 W Patriot St
Somerset, PA 15501-1529
Phone
(814) 445-7310
Fax
(814) 445-3409
NPI assigned
Jun 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Dr. Kirk D Schrock, D.C.NPI 1427150671
Title
Owner
Phone
(814) 445-7310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC003051L PA Primary

Addresses

Primary practice location

441 W Patriot St
Somerset, PA 15501-1529

Mailing address

441 W Patriot St
Somerset, PA 15501-1529
Phone (814) 445-7310

Other identifiers 1

IdentifierTypeStateIssuer
1005790MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090716000077 PA Part B Supplier - Clinic/Group Practice 9133271539 Receives reassigned benefits from 2 practitioners
Practice locations: Somerset, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1043448665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 W PATRIOT ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011529",
            "telephone_number": "814-445-7310",
            "fax_number": "814-445-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 W PATRIOT ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011529",
            "telephone_number": "814-445-7310",
            "fax_number": "814-445-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHROCK CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "SCHROCK",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-445-7310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003051L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005790",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.