Active NPI
Kyle Ross, DC
- Chiropractor
- Chicago, IL
National Provider Identifier
1275934085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012686
- Practice address
- 2130 W Belmont Ave Unit 6
Chicago, IL 60618 - Phone
- (262) 676-9370
- NPI assigned
- Sep 11, 2014
- Last updated
- Jun 6, 2018
- 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 | 038.012686 | IL | Primary |
Addresses
Primary practice location
2130 W Belmont Ave Unit 6
Chicago, IL 60618
Mailing address
2130 W Belmont Ave Unit 6
Chicago, IL 60618-6990
Phone (262) 676-9370
Other practice location 1
2300 Lehigh Ave
Ste 115
Glenview, IL 60026-1691
Phone (847) 998-1199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0.38.012686 | Other | IL | DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.012686 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ross Universal Inc | Chiropractor | Current | Accepting new patients |
| Chicago Sports Clinic, Inc | Chiropractor | Current | Accepting new patients |
| Chiro One Wellness Center of Glenview Clinic, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Chicago, IL
- NPI 1942983093
-
- Chiropractor
- Chicago, IL
- NPI 1932650843
-
- Chiropractor
- Chicago, IL
- NPI 1194218057
-
- Chiropractor
- Glenview, IL
- NPI 1205984770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1275934085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 W BELMONT AVE UNIT 6",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606186990",
"telephone_number": "262-676-9370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 W BELMONT AVE UNIT 6",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60618",
"telephone_number": "262-676-9370"
}
],
"practiceLocations": [
{
"address_1": "2300 Lehigh Ave",
"address_2": "Ste 115",
"address_purpose": "LOCATION",
"city": "Glenview",
"state": "IL",
"postal_code": "600261691",
"country_code": "US",
"telephone_number": "847-998-1199",
"fax_number": "847-998-9617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "KYLE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-11",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
"identifier": "0.38.012686",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.