Individual provider Active NPI

Samuel Lawrence Schrock, D.C.

  • Chiropractor
  • Kearney, NE
National Provider Identifier
1528018744
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1187 Issued in NE
Practice address
218 W 39TH St
Kearney, NE 68845-2802
Phone
(308) 236-6499
Fax
(308) 236-2050
NPI assigned
May 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1187 NE Primary

Addresses

Primary practice location

218 W 39TH St
Kearney, NE 68845-2802

Mailing address

5911 2ND Ave W
Kearney, NE 68847-1581
Phone (308) 236-6499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060405000204 NE Practitioner - Chiropractic 3173531910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schrock Medical Clinic PCGroup PAC ID 1052686466, 10 clinicians

Practice addresses (Care Compare)

1616 W 39TH St
Suite a
Kearney, NE 68845-2922
Phone (308) 236-6499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1187NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Schrock Chiropractic/Acupuncture, PC Chiropractor Current Accepting new patients
Schrock Medical Clinic PC CurrentSince Jan 17, 2018 Accepting new patients
Schrock Medical Clinic PC CurrentSince Jan 17, 2018 Accepting new patients

Locations

1616 W 39th St
Ste A
Kearney, NE 68845
Phone (308) 236-6499

5911 2nd Ave W
Kearney, NE 68847
Phone (308) 236-6499

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528018744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 2ND AVE W",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688471581",
            "telephone_number": "308-236-6499",
            "fax_number": "308-236-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452802",
            "telephone_number": "308-236-6499",
            "fax_number": "308-236-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROCK",
        "first_name": "SAMUEL",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.