Individual provider Active NPI

Rebekah Lynne Niblock, DC

  • Chiropractor
  • Belton, MO
National Provider Identifier
1376145771
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2020038103 Issued in MO
Practice address
114 Congress St
Belton, MO 64012-2400
Phone
(806) 331-8900
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2020038103 MO Primary

Addresses

Primary practice location

114 Congress St
Belton, MO 64012-2400

Mailing address

12120 S Pflumm Rd Apt 13104
Olathe, KS 66062-8613
Phone (785) 425-8022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117004498 KS Practitioner - Chiropractic 9436564150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Roots Chiropractic LLC Chiropractor CurrentSince Jun 19, 2023 Accepting new patients
Abundant Life Chiropractic, LLC Chiropractor PastSince Nov 15, 2020 Accepting new patients

Locations

14300 Kenneth Rd
Ste 210
Overland Park, KS 66224
Phone (913) 353-4357

Organizations & group practices 2

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": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1376145771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12120 S PFLUMM RD APT 13104",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660628613",
            "telephone_number": "785-425-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CONGRESS ST",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122400",
            "telephone_number": "806-331-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIBLOCK",
        "first_name": "REBEKAH",
        "middle_name": "LYNNE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020038103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.