Active NPI
Christopher Ross, DMD
- Dentist
- Westford, MA
National Provider Identifier
1417394453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18511
- Practice address
- 285 Littleton Rd Ste 9
Westford, MA 01886-3533 - Phone
- (978) 682-2202
- NPI assigned
- May 31, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 18511 | MA | Primary |
Addresses
Primary practice location
285 Littleton Rd Ste 9
Westford, MA 01886-3533
Mailing address
75 Arcand Dr
Lowell, MA 01852-1026
Phone (978) 458-8999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881621159 | Other | MA | DENTIST |
| 1881621159 | Other | MA | HEALTHCARE PROVIDER |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Westford | Direct | |
| CONNECT URL | Westford |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150723008098 | MA | Order and Referring Only - Dentist | 8921311663 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18511 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1417394453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 ARCAND DR",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521026",
"telephone_number": "978-458-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 LITTLETON RD STE 9",
"city": "WESTFORD",
"state": "MA",
"postal_code": "018863533",
"telephone_number": "978-682-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-31",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "18511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "1881621159",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE PROVIDER",
"identifier": "1881621159",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Westford",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "285 Littleton Rd Ste 9",
"city": "Westford",
"state": "MA",
"country_code": "US",
"postal_code": "018863533",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Westford",
"affiliation": "N",
"address_1": "285 Littleton Rd Ste 9",
"city": "Westford",
"state": "MA",
"country_code": "US",
"postal_code": "018863533",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Westford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.