Nicholas Brock Chiropractic, Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

DC32547 Issued in CA

Legal business name

NICHOLAS BROCK CHIROPRACTIC, INC

Practice address

1625 E Thousand Oaks Blvd
Suite E
Thousand Oaks, CA 91362-2823

Phone

(805) 496-4469

NPI assigned

Aug 10, 2016

Last updated

Aug 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Carmen Brock, DCNPI 1649616467

Title

President

Phone

(805) 637-8565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Brock, D.C.

  • Chiropractor
  • Thousand Oaks, CA
  • NPI 1649616467
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1841744562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E THOUSAND OAKS BLVD",
            "address_2": "SUITE E",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622823",
            "telephone_number": "805-496-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E THOUSAND OAKS BLVD",
            "address_2": "SUITE E",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622823",
            "telephone_number": "805-496-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS BROCK CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-637-8565",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "DC32547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Minh Quan Nguyen, DO
• Ha Son Nguyen, MD
• Steven Nguyen, PHARMD
• Tuyen Nguyen
• Sofia Niazi I, BI
• Hayley Miranda Nichols
• Richard T Nichols, MD
• Julann Nickolaisen, LCSW
• Birk Nielsen, MD
• Harjaap Singh Nijhar, M.D.

• Preferred Provider Organization in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.