Active NPI
Ross Enterprise
Doing business as Ross Enterprises
- Registered Dietitian
- Austin, TX
National Provider Identifier
1457761488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT01993
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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
National Provider Directory
National Provider DirectoryLocations
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.