Individual provider Active NPI

Allan Sutherland Ross, D.C.

  • Occupational Health Chiropractor
  • Roseville, CA
National Provider Identifier
1801994975
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
DC24580 Issued in CA
Practice address
755 Sunrise Ave Ste 115
Roseville, CA 95661-4583
Phone
(916) 786-6055
Fax
(916) 786-6452
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X DC24580 CA Primary

Addresses

Primary practice location

755 Sunrise Ave Ste 115
Roseville, CA 95661-4583

Mailing address

755 Sunrise Ave Ste 115
Roseville, CA 95661-4583
Phone (916) 786-6055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525001378 CA Practitioner - Chiropractic 5092796169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Russell and Ross Chiropractic CentreGroup PAC ID 0143463406, 2 clinicians

Practice addresses (Care Compare)

755 Sunrise Ave
Suite 115
Roseville, CA 95661-4583
Phone (916) 786-6055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC24580CAMDOccupational Health Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Roseville Birthing Center PastSince Jan 23, 2013 Accepting new patients

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801994975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 SUNRISE AVE STE 115",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614583",
            "telephone_number": "916-786-6055",
            "fax_number": "916-786-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 SUNRISE AVE STE 115",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614583",
            "telephone_number": "916-786-6055",
            "fax_number": "916-786-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ALLAN",
        "middle_name": "SUTHERLAND",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "DC24580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.