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DR. MALLORI BETH DOMBROCK D.C.
NPI 1124386172
Chiropractor - Pediatric Chiropractor in Excelsior, MN

Active since April 27, 2012Accepts Medicare Assignment
21450 HIGHWAY 7, EXCELSIOR, MN 55331(952) 474-9393(952) 474-2375 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mallori Beth Dombrock D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MALLORI BETH DOMBROCK D.C. (NPI 1124386172) is an individual pediatric chiropractor in Excelsior, Minnesota, licensed in Minnesota (5909) and active in the NPI registry since April 2012. She is a graduate of Northwestern College Of Chiropractic (2011).

NPPES Registry Identity

NPI1124386172
Entity TypeIndividualFemale
Primary Taxonomy111NP0017X
Provider Legal NameDR. MALLORI BETH DOMBROCKCredential: D.C.
Location Address21450 HIGHWAY 7Excelsior, MN 55331-7205
Mailing Address21450 Highway 7Excelsior, MN 55331-7205
Phone(952) 474-9393
Fax(952) 474-2375
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 2011
Enumeration DateApril 27, 2012
Last NPPES UpdateSeptember 14, 2018
✔ NPI 1124386172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Pediatric ChiropractorChiropractic Providers
Taxonomy Code111NP0017X
License✔ Licensed in MN · 5909
Definition
The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents.
21450 HIGHWAY 7, Excelsior, MN 55331
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mallori Beth Dombrock D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709038102
PECOS Enrollment IDI20140703001226

Medicare Billing Reassignment

Medicare enrollment records show Mallori Dombrock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

M. Hope PA
0.7 mi
Chiropractor
21450 HIGHWAY 7
Excelsior, MN 55331
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1730381021 (952) 474-9393

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
162 services39 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
101 services15 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARC ANDREW HOPE D.C.
Chiropractor
21450 HIGHWAY 7
EXCELSIOR, MN 55331
Hennepin County (952) 474-9393
DR. MITCHELL CRAIG MELOHN D.C.
Chiropractor
21450 HIGHWAY 7
EXCELSIOR, MN 55331
Hennepin County (952) 474-9393
M. HOPE PA
Chiropractor
21450 HIGHWAY 7
EXCELSIOR, MN 55331
Hennepin County (952) 474-9393

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallori Dombrock's NPI number?

The NPI number for Mallori Dombrock is 1124386172. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Mallori Dombrock located?

Mallori Dombrock practices at 21450 Highway 7, Excelsior, MN 55331. The listed phone number is (952) 474-9393.

What is Mallori Dombrock's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Pediatric Chiropractor, with taxonomy code 111NP0017X.

Is Mallori Dombrock enrolled in Medicare?

Yes. Mallori Dombrock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mallori Dombrock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallori Dombrock reassigns Medicare benefits to M. Hope PA (Excelsior, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallori Dombrock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallori Dombrock accept?

Health plans from HealthPartners list Mallori Dombrock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallori Dombrock was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.