Individual provider Active NPI

Brenda Basken Ross, D.C.

  • Chiropractor
  • Red Oak, TX
National Provider Identifier
1881873339
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6959 Issued in TX
Practice address
307 E Ovilla Rd
Suite 100
Red Oak, TX 75154-3898
Phone
(972) 576-5501
Fax
(972) 576-5654
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6959 TX Primary
Chiropractor 111N00000X 31122 CA

Addresses

Primary practice location

307 E Ovilla Rd
Suite 100
Red Oak, TX 75154-3898

Mailing address

307 E Ovilla Rd
Suite 100
Red Oak, TX 75154-3898
Phone (972) 576-5501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110812000128 TX Practitioner - Chiropractic 0244408987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waxahachie ChiropracticGroup PAC ID 1759700685, 3 clinicians

Practice addresses (Care Compare)

102 YMCA Dr
Waxahachie, TX 75165-5123
Phone (972) 937-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31122CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Waxahachie Chiropractic Chiropractor CurrentSince Sep 27, 2024 Accepting new patients
LTH Family Medicine PastSince Jan 26, 2021 Accepting new patients
Freedom Chiropractic & Wellness Center LLP Chiropractor PastSince May 4, 2011 Accepting new patients
Curis Functional Health Chiropractor Past Accepting new patients

Locations

1795 N Highway 77
Ste 104
Waxahachie, TX 75165
Phone (214) 764-3943

102 Ymca Dr
Waxahachie, TX 75165
Phone (972) 937-3100

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1881873339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E OVILLA RD",
            "address_2": "SUITE 100",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751543898",
            "telephone_number": "972-576-5501",
            "fax_number": "972-576-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E OVILLA RD",
            "address_2": "SUITE 100",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751543898",
            "telephone_number": "972-576-5501",
            "fax_number": "972-576-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "BRENDA",
        "middle_name": "BASKEN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6959",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.