Ethan Michael Cross, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2011030716 Issued in MO

Practice address

1200 E 9TH St
Trenton, MO 64683-2626

Phone

(660) 359-4491

Fax

(660) 359-4492

NPI assigned

Sep 13, 2011

Last updated

Sep 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MO

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cross Chiropractic Clinic LLC

  • Chiropractor
  • Trenton, MO
  • NPI 1942587092
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1053693309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E 9TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832626",
            "telephone_number": "660-359-4491",
            "fax_number": "660-359-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E 9TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832626",
            "telephone_number": "660-359-4491",
            "fax_number": "660-359-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "ETHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011030716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Collins, LPC
• County of Grundy (Grundy County Ambulance Service)
• Andrew Paul Cox, D.D.S.
• Paul C. Cox, D.D.S.
• Cross Chiropractic Clinic LLC
• Gregory Dean Cross, RPH
• Madison Suzanne Cutsinger, LMSW
• Jenny Sue Dean-Batson, RNC,WHNP
• Easters Pharmacy
• Eastview Manor, Inc. (Eastview Manor Care Center)

• Chiropractor in Trenton, MO
• Providers in Trenton, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.