Active NPI
James L Gross, DC
- Chiropractor
- Albany, OR
National Provider Identifier
1194863423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1193
- Practice address
- 905 Queen Av SW
Albany, OR 97321-2632 - Phone
- (541) 928-8262
- Fax
- (541) 928-8292
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1193 | OR | Primary |
Addresses
Primary practice location
905 Queen Av SW
Albany, OR 97321-2632
Mailing address
905 Queen Ave SW
Albany, OR 97321-2632
Phone (541) 928-8262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101106000041 | OR | Practitioner - Chiropractic | 1951596709 | Practice locations: Albany, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
905 Queen Ave SW
Albany, OR 97321-2632
Phone (541) 928-8262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1193 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1194863423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 QUEEN AVE SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973212632",
"telephone_number": "541-928-8262",
"fax_number": "541-928-8292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 QUEEN AV SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973212632",
"telephone_number": "541-928-8262",
"fax_number": "541-928-8292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "JAMES",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "1193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.