Nicholas Brock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32547 Issued in CA

Practice address

1625 E Thousand Oaks Blvd Ste E
Thousand Oaks, CA 91362-2871

Phone

(805) 496-4469

Fax

(805) 496-1499

NPI assigned

May 20, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Los Angeles, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nicholas Brock Chiropractic, Inc

  • Preferred Provider Organization
  • Thousand Oaks, CA
  • NPI 1841744562
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1649616467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E THOUSAND OAKS BLVD STE E",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622871",
            "telephone_number": "805-496-4469",
            "fax_number": "805-496-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E THOUSAND OAKS BLVD STE E",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622871",
            "telephone_number": "805-496-4469",
            "fax_number": "805-496-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Slywka,M.D.,a Professional Corporation
• Bridget S Tester DPM Inc
• Morgan Brizendine
• Jennie Tara Broadhurst, BA DEGREE
• Susan Broccoli
• Brooke Gifford, DPM Inc
• Mai Brooks, MD
• Ronald Brooks, RPT
• Shelby Brooks
• Melody Anne Brotby, M.A.

• Chiropractor in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.