Individual provider Active NPI

Kirk D Schrock, D.C.

  • Chiropractor
  • Somerset, PA
National Provider Identifier
1427150671
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003051L Issued in PA
Practice address
441 W Patriot St
Somerset, PA 15501-1529
Phone
(814) 445-7310
Fax
(814) 445-3409
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003051L PA Primary

Addresses

Primary practice location

441 W Patriot St
Somerset, PA 15501-1529

Mailing address

441 W Patriot St
Somerset, PA 15501-1529
Phone (814) 445-7310

Other identifiers 1

IdentifierTypeStateIssuer
1005790MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090716000039 PA Practitioner - Chiropractic 2365594769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Schrock Chiropractic Clinic PCGroup PAC ID 9133271539, 2 clinicians

Practice addresses (Care Compare)

441 W Patriot St
Somerset, PA 15501-1529
Phone (814) 445-7310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schrock Chiropractic Clinic, PC Chiropractor CurrentSince Jun 29, 2009 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

441 W Patriot St
Somerset, PA 15501
Phone (814) 445-7310

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427150671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 W PATRIOT ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011529",
            "telephone_number": "814-445-7310",
            "fax_number": "814-445-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 W PATRIOT ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011529",
            "telephone_number": "814-445-7310",
            "fax_number": "814-445-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROCK",
        "first_name": "KIRK",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003051L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005790",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.