Mallori Beth Dombrock, D.C.

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

5909 Issued in MN

Practice address

21450 Highway 7
Excelsior, MN 55331-7205

Phone

(952) 474-9393

Fax

(952) 474-2375

NPI assigned

Apr 27, 2012

Sex

Female

Sole proprietor

Yes

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

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M. Hope PAGroup PAC ID 9931167855, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• M. Hope PA

  • Chiropractor
  • Excelsior, MN
  • NPI 1730381021
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1124386172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21450 HIGHWAY 7",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553317205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21450 HIGHWAY 7",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553317205",
            "telephone_number": "952-474-9393",
            "fax_number": "952-474-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBROCK",
        "first_name": "MALLORI",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MN",
            "license": "5909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennet Stewart Crow, CMT
• Britta Lynn Dance, LMFT
• Edwin Joseph Dasso, M.D.
• Debra Kay Schipper
• Claire Deitering
• Bryan Dorn, DPT
• Hillary Duarte
• Rhea Marie Dykoski, L.AC., DIPL.O.M.
• Eagle Medical PA
• Virginia G Ehrman, LP

• Pediatric Chiropractor in Excelsior, MN
• Providers in Excelsior, MN by specialty
• Pediatric Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.