Individual provider Active NPI

Eric C Ross, DC

  • Chiropractor
  • McKinney, TX
National Provider Identifier
1124508858
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14155 Issued in TX
Practice address
5971 Virginia Pkwy Ste 150
McKinney, TX 75071-5638
Phone
(972) 546-0060
NPI assigned
Aug 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6042880-1202 UT
Chiropractor 111N00000X 14155 TX Primary

Addresses

Primary practice location

5971 Virginia Pkwy Ste 150
McKinney, TX 75071-5638

Mailing address

5971 Virginia Pkwy Ste 150
McKinney, TX 75071-5638
Phone (972) 546-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200220000909 TX Practitioner - Chiropractic 7719314319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5971 Virginia Pkwy
Suite 150
McKinney, TX 75071-5638
Phone (972) 546-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14155TXMDProfessional Counselor
6042880-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Countryside Chiropractic PLLC Chiropractor CurrentSince Nov 6, 2019 Accepting new patients
Superior Wellness LLC Chiropractor PastSince Oct 30, 2022 Accepting new patients

Locations

5971 Virginia Pkwy
Ste 150
McKinney, TX 75071
Phone (972) 546-0060

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.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1124508858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5971 VIRGINIA PKWY STE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715638",
            "telephone_number": "972-546-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5971 VIRGINIA PKWY STE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715638",
            "telephone_number": "972-546-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ERIC",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6042880-1202",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.