Organization Active NPI

Ross Chiropractic Center, LLC

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1700048055
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4634 Issued in FL
Legal business name
ROSS CHIROPRACTIC CENTER, LLC
Practice address
1002 W Sr 436 Ste 1002
Altamonte Springs, FL 32714-2936
Phone
(407) 875-2000
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. Kenneth Steven Ross
Title
Owner
Phone
(407) 875-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH4634 FL Primary

Addresses

Primary practice location

1002 W Sr 436 Ste 1002
Altamonte Springs, FL 32714-2936

Mailing address

1002 W Sr 436 Ste 1002
Altamonte Springs, FL 32714-2936
Phone (407) 875-2000

Other identifiers 2

IdentifierTypeStateIssuer
CH4634OtherFLCHIROPRACTIC LICENSE
050508100MedicaidFL

National Provider Directory

National Provider Directory

Locations

1002 W Sr 436
Ste 1002
Altamonte Springs, FL 32714
Phone (407) 875-2000

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1700048055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W SR 436 STE 1002",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142936",
            "telephone_number": "407-875-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W SR 436 STE 1002",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142936",
            "telephone_number": "407-875-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-875-2000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "CH4634",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050508100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.