Active NPI
Deborah A Ross, DC
- Sports Physician Chiropractor
- Huntington, WV
National Provider Identifier
1720009251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 355
- Practice address
- 1218 5TH Ave
Huntington, WV 25701-2207 - Phone
- (304) 525-1901
- Fax
- (304) 525-0277
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 355 | WV | Primary |
Addresses
Primary practice location
1218 5TH Ave
Huntington, WV 25701-2207
Mailing address
PO Box 2408
Huntington, WV 25725-2408
Phone (304) 525-1901
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013165900 | Medicaid | WV | |
| 248833 | Other | WV | MAMSI |
| 550772013 | Other | WA | CIGNA |
| 550772013 | Other | WV | WV VETERANS |
| 550772013 | Other | WV | WORKERS COMP |
| 550772013 | Other | WV | AETNA |
| 550772013 | Other | WV | UNITED HEALTH CARE |
| 000724450 | Other | WV | BLUE CROSS/ BLUE SHIELD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 355 | WV | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1720009251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2408",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257252408",
"telephone_number": "304-525-1901",
"fax_number": "304-525-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 5TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257012207",
"telephone_number": "304-525-1901",
"fax_number": "304-525-0277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "DEBORAH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "WV",
"license": "355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013165900",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "248833",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "550772013",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV VETERANS",
"identifier": "550772013",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "550772013",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "550772013",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "550772013",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "000724450",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.