NPIMap

Individual provider Active NPI

Jennifer L Ross, D.C.

  • Chiropractor
  • Cuyahoga Falls, OH
National Provider Identifier
1679959340
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4536 Issued in OH
Practice address
911 Graham Rd
Suite 66
Cuyahoga Falls, OH 44221-1169
Phone
(330) 945-4700
Fax
(330) 945-5876
NPI assigned
Aug 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4536 OH Primary

Addresses

Primary practice location

911 Graham Rd
Suite 66
Cuyahoga Falls, OH 44221-1169

Mailing address

PO Box 1417
Hudson, OH 44236-0917
Phone (330) 945-4700

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
4536OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tubbs Chiropractic LLC Chiropractor CurrentSince Jul 11, 2015 Accepting new patients
Aligned Physical Therapy Incorporated PastSince Nov 12, 2016 Accepting new patients

Locations

911 Graham Rd
Ste 66
Cuyahoga Fls, OH 44221
Phone (330) 945-4700

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1679959340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1417",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442360917",
            "telephone_number": "330-945-4700",
            "fax_number": "330-945-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 GRAHAM RD",
            "address_2": "SUITE 66",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211169",
            "telephone_number": "330-945-4700",
            "fax_number": "330-945-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.