Organization Active NPI

Dr Justin Ross PLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1144415019
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7827 Issued in AZ
Legal business name
DR JUSTIN ROSS PLC
Practice address
34406 N 27TH Dr
Suite 116
Phoenix, AZ 85085-6082
Phone
(623) 223-1350
NPI assigned
Sep 13, 2007
Last updated
May 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Dr. Justin Collin Ross, D.C.NPI 1366658387
Title
Owner
Phone
(602) 867-7463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7827 AZ Primary

Addresses

Primary practice location

34406 N 27TH Dr
Suite 116
Phoenix, AZ 85085-6082

Mailing address

3120 W Carefree Hwy
Suite 1-342
Phoenix, AZ 85086-3201
Phone (623) 223-1350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070927000835 AZ Part B Supplier - Clinic/Group Practice 1658466214 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

3120 W Carefree Hwy
Ste 1342
Phoenix, AZ 85086

34406 N 27th Dr
Ste 102
Phoenix, AZ 85085
Phone (602) 344-9567

4550 E Bell Rd
Ste 152
Phoenix, AZ 85032
Phone (602) 258-9663

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1144415019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 W CAREFREE HWY",
            "address_2": "SUITE 1-342",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863201",
            "telephone_number": "623-223-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR",
            "address_2": "SUITE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856082",
            "telephone_number": "623-223-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JUSTIN ROSS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "COLLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-867-7463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.