Active NPI
Deshan Sherard Gross, D.C.
- Chiropractor
- Birmingham, AL
National Provider Identifier
1972652865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2065
- Practice address
- 52 Medical Park Dr E
Suite 219
Birmingham, AL 35235-3430 - Phone
- (205) 868-3741
- Fax
- (205) 868-3744
- NPI assigned
- Jan 9, 2007
- 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 | 2065 | AL | Primary |
Addresses
Primary practice location
52 Medical Park Dr E
Suite 219
Birmingham, AL 35235-3430
Mailing address
PO Box 1198
Trussville, AL 35173-6100
Phone (205) 868-3741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2017 Canyon Rd
Suite 21
Vestavia Hills, AL 35216-1928
Phone (205) 822-8320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2065 | AL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vestavia Spine and Rehabilitation Center LLC | Chiropractor | Current | Accepting new patients |
| Central Alabama Spine & Rehab | Chiropractor | Past | Accepting new patients |
Locations
2017 Canyon Rd
Ste 21
Vestavia Hills, AL 35216
Phone (205) 822-8320
2017 Canyon Rd
Vestavia Hills, AL 35216
Phone (205) 206-9425
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.
-
- Chiropractor
- Vestavia Hills, AL
- NPI 1841908571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1972652865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1198",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351736100",
"telephone_number": "205-868-3741",
"fax_number": "205-868-3744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 MEDICAL PARK DR E",
"address_2": "SUITE 219",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353430",
"telephone_number": "205-868-3741",
"fax_number": "205-868-3744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "DESHAN",
"middle_name": "SHERARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.