Brock Chiropractic Inc PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7584 Issued in AZ

Legal business name

BROCK CHIROPRACTIC INC PC

Practice address

410 Riata Valley Rd
Kingman, AZ 86409-2976

Phone

(928) 757-9361

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeri Lynn Brock, D.C.

Title

President

Phone

(928) 757-9361

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Barbara E Dorf, D.C.

  • Chiropractor
  • Kingman, AZ
  • NPI 1619932308
  NPD (past)
• Jennie Lynn Dugo, NP-C

  • Family Nurse Practitioner
  • Kingman, AZ
  • NPI 1871979658
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1164582664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 RIATA VALLEY RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864092976",
            "telephone_number": "928-757-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 RIATA VALLEY RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864092976",
            "telephone_number": "928-757-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK CHIROPRACTIC INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-757-9361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Ray Brisco, PT
• Kimberly Ann Brisco, PT
• Julian Alexander Brix, DO
• Lanita Brixey, RPH
• Marie-There Yvonne Broca, O.D.
• Jeri Lynn Brock, D.C.
• Elissa Marie Brooks, ACNP
• Richard Brooks, RN
• Andrea Brown
• Katherine M Brown, AUD

• All providers in Kingman, AZ
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.