Individual provider Active NPI

Ross A Ellis, DC

  • Chiropractor
  • Richardson, TX
National Provider Identifier
1144655101
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12159 Issued in TX
Practice address
2701 Custer Pkwy Ste 712
Richardson, TX 75080-1670
Phone
(214) 484-3379
NPI assigned
Sep 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12159 TX Primary

Addresses

Primary practice location

2701 Custer Pkwy Ste 712
Richardson, TX 75080-1670

Mailing address

13 Willow Creek PL
Richardson, TX 75080-1537
Phone (214) 697-6143

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131216001262 TX Practitioner - Chiropractic 1951538099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12159TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brad Wesley Collins DC PA Chiropractor CurrentSince Sep 5, 2013 Accepting new patients
Catalyst Sports Rehab Group LLC Chiropractor PastSince Mar 20, 2025 Accepting new patients

Locations

525 E Main St
Midlothian, TX 76065
Phone (972) 723-1155

460 S 14th St
Midlothian, TX 76065
Phone (972) 723-1155

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": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1144655101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WILLOW CREEK PL",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801537",
            "telephone_number": "214-697-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CUSTER PKWY STE 712",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801670",
            "telephone_number": "214-484-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ROSS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-10",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.