Active NPI
Ross David Crain, D.C.
- Chiropractor
- Woodbury, MN
National Provider Identifier
1376969782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5728
- Practice address
- 683 Bielenberg Dr Ste 103
Woodbury, MN 55125-1711 - Phone
- (651) 731-0505
- Fax
- (651) 731-0500
- NPI assigned
- Mar 10, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 5728 | MN | Primary |
Addresses
Primary practice location
683 Bielenberg Dr Ste 103
Woodbury, MN 55125-1711
Mailing address
2940 65TH St E
Inver Grove Heights, MN 55076-2040
Phone (651) 451-1012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2940 65TH St E
Inver Grove Heights, MN 55076-2040
Phone (651) 451-1012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5728 | MN | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inver Grove Chiropractic P a | Chiropractor | Current | Accepting new patients |
Locations
2940 65th St E
Inver Grove Heights, MN 55076
Phone (651) 451-1012
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.
-
- Chiropractor
- Inver Grove Heights, MN
- NPI 1194904417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540944000000",
"number": "1376969782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 65TH ST E",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550762040",
"telephone_number": "651-451-1012",
"fax_number": "651-453-1543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "683 BIELENBERG DR STE 103",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251711",
"telephone_number": "651-731-0505",
"fax_number": "651-731-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIN",
"first_name": "ROSS",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-10",
"last_updated": "2018-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.