Individual provider Active NPI

Idris Ross Kose, DC

  • Chiropractor
  • Escondido, CA
National Provider Identifier
1245039304
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC37172 Issued in CA
Practice address
330 W Felicita Ave Ste B1
Escondido, CA 92025-6542
Phone
(760) 489-0303
NPI assigned
Mar 11, 2025
Sex
Male
Sole proprietor
No

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 DC37172 CA Primary

Addresses

Primary practice location

330 W Felicita Ave Ste B1
Escondido, CA 92025-6542

Mailing address

330 W Felicita Ave Ste B1
Escondido, CA 92025-6542
Phone (760) 489-0303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250623003133 CA Practitioner - Chiropractic 6901318203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC37172CAMDChiropractor
37172CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rassel Chiropractic Group Inc Chiropractor CurrentSince Jun 1, 2025 Accepting new patients

Locations

330 W Felicita Ave
Ste B1
Escondido, CA 92025
Phone (760) 489-0303

Organizations & group practices 1

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": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1245039304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W FELICITA AVE STE B1",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256542",
            "telephone_number": "760-489-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W FELICITA AVE STE B1",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256542",
            "telephone_number": "760-489-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSE",
        "first_name": "IDRIS",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC37172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

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.