Individual provider Active NPI

John Ross, D.C.

  • Chiropractor
  • Chattanooga, TN
National Provider Identifier
1558407353
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC533 Issued in TN
Practice address
7405 Shallowford Rd
Suite 320
Chattanooga, TN 37421-2661
Phone
(423) 954-9591
Fax
(423) 954-3081
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC533 TN Primary

Addresses

Primary practice location

7405 Shallowford Rd
Suite 320
Chattanooga, TN 37421-2661

Mailing address

7405 Shallowford Rd
Suite 320
Chattanooga, TN 37421-2661
Phone (423) 954-9591

Other identifiers 1

IdentifierTypeStateIssuer
3052956OtherTNBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC533TNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1558407353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 SHALLOWFORD RD",
            "address_2": "SUITE 320",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212661",
            "telephone_number": "423-954-9591",
            "fax_number": "423-954-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 SHALLOWFORD RD",
            "address_2": "SUITE 320",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212661",
            "telephone_number": "423-954-9591",
            "fax_number": "423-954-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "3052956",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.