Organization Active NPI

Ross Enterprise

Doing business as Ross Enterprises

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1457761488
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT01993 Issued in TX
Legal business name
ROSS ENTERPRISE
Doing business as
Ross Enterprises
Practice address
1106 Clayton LN
Suite 517W
Austin, TX 78723-1066
Phone
(512) 212-4601
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Authorized official

Name
Michael Ross
Title
Ceo
Phone
(502) 594-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT01993 TX Primary

Addresses

Primary practice location

1106 Clayton LN
Suite 517W
Austin, TX 78723-1066

Mailing address

3839 Briargrove LN Apt 2303
Dallas, TX 75287-6367
Phone (502) 594-0020

Other names 1

  • Ross Enterprises Doing business as

National Provider Directory

National Provider Directory

Locations

1106 Clayton Ln
Ste 517W
Austin, TX 78723
Phone (512) 212-4601

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1457761488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 BRIARGROVE LN APT 2303",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876367",
            "telephone_number": "502-594-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN",
            "address_2": "SUITE 517W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231066",
            "telephone_number": "512-212-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-594-0020"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT01993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ross Enterprises",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ross Enterprises",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.