Jeri Lynn Brock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7584 Issued in AZ

Practice address

410 Riata Valley Rd
Kingman, AZ 86409-2976

Phone

(928) 757-9361

NPI assigned

Nov 11, 2005

Last updated

May 20, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brock Chiropractic Inc PC

  • Chiropractor
  • Kingman, AZ
  • NPI 1164582664
  Authorized official Same address or phone
• Acadia Healthcare Inc

  • Family Nurse Practitioner
  • NPI 1710420286
  NPD (past) Authorized official
• Barbara E Dorf, D C P C

  dba Holistic Chiropractic & Rehab

  • Chiropractor
  • Kingman, AZ
  • NPI 1013057751
  NPD (past)

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1356322739",
    "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": {
        "last_name": "BROCK",
        "first_name": "JERI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "WA0003435",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Brisco, PT
• Julian Alexander Brix, DO
• Lanita Brixey, RPH
• Marie-There Yvonne Broca, O.D.
• Brock Chiropractic Inc PC
• Elissa Marie Brooks, ACNP
• Richard Brooks, RN
• Andrea Brown
• Katherine M Brown, AUD
• McCall Brown, PHARM.D.

• Chiropractor in Kingman, AZ
• Providers in Kingman, AZ by specialty
• 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.