Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KENNETH ROBERT BROCKER DDS
NPI 1184682791
Dentist in Chicago, IL

Active since May 03, 2006
3135 W 111TH ST, CHICAGO, IL 60655(773) 238-4451(773) 238-9561 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Robert Brocker Dds NPPES

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

DR. KENNETH ROBERT BROCKER DDS (NPI 1184682791) is an individual dentist in Chicago, Illinois and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1184682791
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KENNETH ROBERT BROCKERCredential: DDS
Location Address3135 W 111TH STChicago, IL 60655
Mailing Address3135 W 111th StChicago, IL 60655 · (773) 238-4451 · Fax (773) 238-9561
Fax(773) 238-9561
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1184682791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3135 W 111TH ST, Chicago, IL 60655

Accepted Insurance

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.

Optometrist
3135 W 111TH ST
CHICAGO, IL 60655
Dentist
3135 W 111TH ST
CHICAGO, IL 60655
Dentist
3135 W 111TH ST
CHICAGO, IL 60655

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 Kenneth Brocker's NPI number?

The NPI number for Kenneth Brocker is 1184682791. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Kenneth Brocker located?

Kenneth Brocker practices at 3135 W 111th St, Chicago, IL 60655. The listed phone number is (773) 238-4451.

What is Kenneth Brocker's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kenneth Brocker accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kenneth Brocker 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 Kenneth Brocker was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.