Active NPI
Donald Louis Gross, DC
- Chiropractor
- Everett, WA
National Provider Identifier
1831346790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00001604
- Practice address
- 9505 19TH Ave. SE #109
Everett, WA 98208-3841 - Phone
- (425) 337-1243
- NPI assigned
- Aug 22, 2008
- Last updated
- Nov 6, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00001604 | WA | Primary |
Addresses
Primary practice location
9505 19TH Ave. SE #109
Everett, WA 98208-3841
Mailing address
9505 19TH Ave. SE #109
Everett, WA 98208-3841
Phone (425) 337-1243
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 |
|---|---|---|---|
| CH00001604 | WA | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225929600000",
"number": "1831346790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9505 19TH AVE. SE #109",
"city": "EVERETT",
"state": "WA",
"postal_code": "982083841",
"telephone_number": "425-337-1243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9505 19TH AVE. SE #109",
"city": "EVERETT",
"state": "WA",
"postal_code": "982083841",
"telephone_number": "425-337-1243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "DONALD",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-22",
"last_updated": "2008-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00001604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.