Dr. Kennth S. Ross D.C., J.D. PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH4634 Issued in FL

Legal business name

DR. KENNTH S. ROSS D.C., J.D. PA

Practice address

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

Phone

(407) 875-2000

NPI assigned

Jul 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Steven Ross, D.C., J.D.

Title

Owner

Phone

(407) 875-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1740445501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W SR 436",
            "address_2": "SUITE 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",
            "address_2": "SUITE 1002",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142936",
            "telephone_number": "407-875-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KENNTH S. ROSS D.C., J.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "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.",
        "authorized_official_credential": "D.C., J.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.