John E. Ross III, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2132 Issued in SC

Practice address

602 College Ave Ste 1
Clemson, SC 29631-2823

Phone

(864) 654-6813

Fax

(864) 654-0139

NPI assigned

Feb 27, 2007

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 SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Calhoun Clemson Dental Associates II, LLC

  • General Practice Dentistry
  • Clemson, SC
  • NPI 1295261493
  NPD (past) Authorized official
• John E. Ross, III, DMD

  • Dental Clinic/Center
  • Clemson, SC
  • NPI 1063645729
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023145356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 COLLEGE AVE STE 1",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312823",
            "telephone_number": "864-654-6813",
            "fax_number": "864-654-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 COLLEGE AVE STE 1",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312823",
            "telephone_number": "864-654-6813",
            "fax_number": "864-654-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JOHN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa S Ritter, PHD
• Jessica Graves Rivera, DNP, FNP-BC
• Robeson Family Chiropractic Inc
• Vanessa Lynn Robinson, OTR/L
• Alexandria Hamilton Roper, SLP
• Eric Christopher Roux, LAT, ATC
• Katherine Rovtar, ATC
• Sarah Elizabeth Russell, MA, LMFT/A, CTP
• Christopher Ruth, PSYCHOLOGIST
• Ryan P. Macrae, LLC

• General Practice Dentistry in Clemson, SC
• Providers in Clemson, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.