Individual provider Active NPI

Rick A. Gross, D.C.

  • Orthopedic Chiropractor
  • Aurora, IL
National Provider Identifier
1689656316
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
Practice address
2460 S Eola Rd
Ste G.
Aurora, IL 60503-6494
Phone
(630) 499-2225
Fax
(630) 499-2224
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X IL Primary

Addresses

Primary practice location

2460 S Eola Rd
Ste G.
Aurora, IL 60503-6494

Mailing address

2460 S Eola Rd
Ste G.
Aurora, IL 60503-6494
Phone (630) 499-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310000178 IL Practitioner - Chiropractic 2365330388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Care Chiropractic ClinicGroup PAC ID 2466340476, 2 clinicians

Practice addresses (Care Compare)

2460 S Eola Rd
Suite G
Aurora, IL 60503-6495
Phone (630) 499-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038010024ILMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Care Chiropractic Clinic CurrentSince Sep 22, 2003 Accepting new patients

Locations

2460 S Eola Rd
Ste G
Aurora, IL 60503
Phone (630) 499-2225

Organizations & group practices 1

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1689656316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 S EOLA RD",
            "address_2": "STE G.",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036494",
            "telephone_number": "630-499-2225",
            "fax_number": "630-499-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 S EOLA RD",
            "address_2": "STE G.",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036494",
            "telephone_number": "630-499-2225",
            "fax_number": "630-499-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "RICK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.