Individual provider Active NPI

Ana M Brock, D.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1730377441
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007021504 Issued in MO
Practice address
2244A Union Rd
Saint Louis, MO 63125
Phone
(314) 246-9667
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2007021504 MO Primary

Addresses

Primary practice location

2244A Union Rd
Saint Louis, MO 63125

Mailing address

87 Grasso PLZ # 194
Saint Louis, MO 63123-3107
Phone (314) 246-9667

Other practice location 1

8822 Gravois Rd
Saint Louis, MO 63123-4622
Phone (314) 246-9667

Other names 1

  • Ana Inocentes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1730377441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 GRASSO PLZ # 194",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631233107",
            "telephone_number": "314-246-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244A UNION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63125",
            "telephone_number": "314-246-9667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8822 Gravois Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631234622",
            "country_code": "US",
            "telephone_number": "314-246-9667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "ANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007021504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "INOCENTES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.