Individual provider Active NPI

Kyle Ross, DC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1275934085
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012686 Issued in IL
Practice address
2130 W Belmont Ave Unit 6
Chicago, IL 60618
Phone
(262) 676-9370
NPI assigned
Sep 11, 2014
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0.38.012686OtherILDEPARTMENT 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

LicenseStateTypeSpecialty
038.012686ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince May 28, 2017 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.

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.

Verify at the official NPI Registry.