Dr Scott Gross DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR SCOTT GROSS DC LLC

Practice address

2075 NE Division St
Gresham, OR 97030-5812

Phone

(503) 512-1040

Fax

(503) 662-7334

NPI assigned

Jun 10, 2022

Organization subpart

No

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

Authorized official

Name

Scott Edward Gross, DCNPI 1487151650

Title

Owner

Phone

(503) 314-9525

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Active Motion Spine & Rehab Doing business as

Electronic endpoints 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Edward Gross, DC, MS

  • Chiropractor
  • Vancouver, WA
  • NPI 1487151650
  NPD Authorized official
• Micala Mikael Folkedahl, DC

  • Chiropractor
  • Gresham, OR
  • NPI 1053100990
  NPD
• Aaron Montgomery, D.C.

  • Chiropractor
  • Gresham, OR
  • NPI 1528384625
  NPD (past)
• Connor Mormon, DC, MS

  • Chiropractor
  • Gresham, OR
  • NPI 1548181878
  NPD (past)
• Sarah Phillips

  • Massage Therapist
  • Gresham, OR
  • NPI 1598671174
  NPD (past)

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1851021182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 NE DIVISION ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305812",
            "telephone_number": "503-512-1040",
            "fax_number": "503-662-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 NE DIVISION ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305812",
            "telephone_number": "503-512-1040",
            "fax_number": "503-662-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SCOTT GROSS DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-314-9525",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487151650",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@activemotionspine.com",
            "affiliation": "N",
            "endpointDescription": "clinic email",
            "address_1": "2075 NE Division St",
            "city": "Gresham",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970305812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Active Motion Spine & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Doughty, PA-C
• Doulas Latinas International
• Svetlana Dovgan
• Michelle L Doyle
• Dr John L. Strauss, PC
• Dr Steven Clark and Associates, LLC
• Emily Marie Drapela, M.S. SLP
• Erica Elexis Drexler, LPC
• Elizabeth Driscoll, R.N.
• Jerald William Driskell, R.N., FNP-C

• Chiropractor in Gresham, OR
• Providers in Gresham, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.