Individual provider Active NPI

Brock Elgin, DC

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1306693148
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2024014961 Issued in MO
Practice address
7021 Oak St
Kansas City, MO 64113-2500
Phone
(816) 666-2035
NPI assigned
Apr 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2024014961 MO Primary

Addresses

Primary practice location

7021 Oak St
Kansas City, MO 64113-2500

Mailing address

7201 Jarboe St
Kansas City, MO 64114-1221
Phone (816) 666-2035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008003843 MO Practitioner - Chiropractic 5496286981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7021 Oak St
Kansas City, MO 64113-2500
Phone (816) 666-2035

7201 Jarboe St
Kansas City, MO 64114-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024014961MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Health Chiropractic LLC Chiropractor CurrentSince Sep 10, 2024 Accepting new patients

Locations

7021 Oak St
Kansas City, MO 64113
Phone (816) 666-2035

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": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1306693148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 JARBOE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141221",
            "telephone_number": "816-666-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7021 OAK ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132500",
            "telephone_number": "816-666-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGIN",
        "first_name": "BROCK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2024014961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.