Individual provider Active NPI

Christopher Ross, DMD

  • Dentist
  • Westford, MA
National Provider Identifier
1417394453
Registry record updated Jun 4, 2020
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18511 Issued in MA
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

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1881621159OtherMADENTIST
1881621159OtherMAHEALTHCARE PROVIDER

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723008098 MA Order and Referring Only - DentistPractitioner - Dentist 8921311663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18511MAMDDentist

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

Verify at the official NPI Registry.