Active NPI
Dean Ray Brock, D.C.
- Chiropractor
- Truth Or Consequences, NM
National Provider Identifier
1144383753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1493
- Practice address
- 402 N Broadway St
Truth Or Consequences, NM 87901-2836 - Phone
- (505) 894-9355
- Fax
- (800) 957-2330
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1493 | NM | Primary |
Addresses
Primary practice location
402 N Broadway St
Truth Or Consequences, NM 87901-2836
Mailing address
402 N Broadway St
Truth Or Consequences, NM 87901-2836
Phone (505) 894-9355
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1493 | NM | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1144383753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 N BROADWAY ST",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "879012836",
"telephone_number": "505-894-9355",
"fax_number": "800-957-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 N BROADWAY ST",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "879012836",
"telephone_number": "505-894-9355",
"fax_number": "800-957-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "DEAN",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "1493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Truth Or Consequences, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.