Wallace Charles Ross, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301004832 Issued in MI

Practice address

208 N Main St
Davison, MI 48423-1432

Phone

(248) 321-5405

Fax

(810) 797-3615

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Ross Chiropractic PLLC

  • Chiropractor
  • Davison, MI
  • NPI 1235338864
  NPD Authorized official

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1154365708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N MAIN ST",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231432",
            "telephone_number": "248-321-5405",
            "fax_number": "810-797-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N MAIN ST",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231432",
            "telephone_number": "248-321-5405",
            "fax_number": "810-797-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "WALLACE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Rogers, LMSW
• Nicole Romolino, DPT
• Rooted in Strength LLC
• Kelsie Rose, CCC-SLP
• Ross Chiropractic PLLC
• Janet Sachenko
• Mohammed A Saleem, MD
• Christie L Samuels, MD
• Misty Schaffer
• Dinah Lee Schaller, LCSW

• Chiropractor in Davison, MI
• Providers in Davison, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.