Individual provider Active NPI

Vincent C Gross, D.C.

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1639163066
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007869L Issued in PA
Practice address
2275 Swallow Hill Rd
Building 2600
Pittsburgh, PA 15220-1656
Phone
(412) 279-4522
Fax
(412) 279-3416
NPI assigned
Aug 31, 2005
Last updated
Nov 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007869L PA Primary

Addresses

Primary practice location

2275 Swallow Hill Rd
Building 2600
Pittsburgh, PA 15220-1656

Mailing address

2275 Swallow Hill Rd
Building 2600
Pittsburgh, PA 15220-1656
Phone (412) 279-4522

Other identifiers 1

IdentifierTypeStateIssuer
919540OtherPABLUE SHIELD #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714000895 PA Practitioner - Chiropractic 2062491053 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Honest Chiropractic Chiropractor CurrentSince Dec 15, 2013 Accepting new patients
Ross Township Chiropractic PC Chiropractor Past Accepting new patients
Thomas P Hathaway Inc PastSince Aug 13, 2018 Accepting new patients

Locations

1412 Mount Royal Blvd
Glenshaw, PA 15116
Phone (412) 486-6060

2199 Babcock Blvd
Pittsburgh, PA 15209
Phone (412) 821-2600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1639163066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 SWALLOW HILL RD",
            "address_2": "BUILDING 2600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201656",
            "telephone_number": "412-279-4522",
            "fax_number": "412-279-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 SWALLOW HILL RD",
            "address_2": "BUILDING 2600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201656",
            "telephone_number": "412-279-4522",
            "fax_number": "412-279-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "VINCENT",
        "middle_name": "C",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007869L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD #",
            "identifier": "919540",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.