Active NPI
Tina D Ross, D.C.
- Chiropractor
- Goshen, NY
National Provider Identifier
1073551180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X004750
- Practice address
- 30 Hatfield LN
Suite 101
Goshen, NY 10924-6766 - Phone
- (845) 294-8134
- Fax
- (845) 294-6486
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X004750 | NY | Primary |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 003818 | NY |
Addresses
Primary practice location
30 Hatfield LN
Suite 101
Goshen, NY 10924-6766
Mailing address
2 Coates Dr
Goshen, NY 10924-6758
Phone (845) 651-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003818 | NY | MD | Mental Health Counselor |
| X004750 | NY | MD | Chiropractor |
| 004750 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Medical Group, P.C. | Past | Accepting new patients | |
| Horizon Medical Group, P.C. | Chiropractor | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGICBA
Organizations & group practices 2
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.
-
dba Horizon Family Medical Group
- Family Medicine Physician
- Goshen, NY
- NPI 1063488179
Chiropractor
-
dba Horizon Family Medical Group
- Durable Medical Equipment & Medical Supplies
- Yorktown Heights, NY
- NPI 1386520021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1073551180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 COATES DR",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246758",
"telephone_number": "845-651-1400",
"fax_number": "845-651-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HATFIELD LN",
"address_2": "SUITE 101",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246766",
"telephone_number": "845-294-8134",
"fax_number": "845-294-6486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "TINA",
"middle_name": "D",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X004750",
"primary": true
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NY",
"license": "003818",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.