Active NPI
Ross Chiropractic, P.C.
- Rehabilitation Chiropractor
- Johnstown, PA
National Provider Identifier
1790842185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC004889L
- Legal business name
- ROSS CHIROPRACTIC, P.C.
- Practice address
- 2831 Bedford St
Johnstown, PA 15904-1846 - Phone
- (814) 266-3911
- Fax
- (814) 266-4315
- NPI assigned
- Jan 3, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Leslie Ross, D.C.
- Title
- Owner
- Phone
- (814) 266-3911
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC004889L | PA | Primary |
Addresses
Primary practice location
2831 Bedford St
Johnstown, PA 15904-1846
Mailing address
411 Salmon Ave
Johnstown, PA 15904-2318
Phone (814) 266-3019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013999170004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Johnstown, PA
- NPI 1245278076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790842185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 SALMON AVE",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159042318",
"telephone_number": "814-266-3019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 BEDFORD ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159041846",
"telephone_number": "814-266-3911",
"fax_number": "814-266-4315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSS CHIROPRACTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "LESLIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-266-3911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "DC004889L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013999170004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.