Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366525073 Individual Practitioner Male Practitioner

Dr. Kenneth Steven Ross , DC JD

Chiropractor • Casselberry, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Ross, DC JD is a registered healthcare professional specializing in Chiropractor in Casselberry, FL. Practice services are available at 172 SAUSALITO BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

172 Sausalito Blvd

Casselberry, FL 327075764

Telephone 4079367999
Fax 4073866254
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Casselberry, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Casselberry, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH0004634

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
050508100 (FL)
Commercial Insurance / Payer ID Lic Number
CH4634

Secondary Practice Locations

870 S Sun Dr, Suite 1030

Lake Mary, FL 327462057

Phone: 4079367999

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1871663807

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 27, 2019

Registered at 172 SAUSALITO BLVD, CASSELBERRY, FL 327075764 (Tel: 4079367999)

📍
Updated Business Mailing Address July 05, 2018

Registered at 172 SAUSALITO BLVD, CASSELBERRY, FL 327075764 (Tel: 4079367999)

NPI Profile Active June 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2014

Registered at 870 S SUN DR, SUITE 1030, LAKE MARY, FL 327462057 (Tel: 4079367999)

📍
Updated Business Mailing Address June 02, 2014

Registered at 870 S. SUN DRIVE, SUITE 1030, LAKE MARY, FL 32746 (Tel: 4079367999)

👤
Provider Name / Credentials Updated June 02, 2014

Recorded as KENNETH ROSS, DC JD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2014

Chiropractor (License #CH0004634 in FL)

🟢
Initial NPI Registration & Enumeration October 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366525073
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2006
Last Update: May 27, 2019
Sole Proprietor: Yes

Mailing Address

172 Sausalito Blvd

Casselberry, FL 327075764

Phone: 4079367999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.