Individual provider Active NPI

Devon Gray, L.AC.

  • Acupuncturist
  • West Lake Hills, TX
National Provider Identifier
1053770354
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01800 Issued in TX
Practice address
1001 S Capital of Texas Hwy Ste 210
West Lake Hills, TX 78746-6450
Phone
(512) 577-9802
NPI assigned
Feb 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02276 MD
Acupuncturist 171100000X AC01800 TX Primary

Addresses

Primary practice location

1001 S Capital of Texas Hwy Ste 210
West Lake Hills, TX 78746-6450

Mailing address

1001 S Capital of Texas Hwy Ste 210
West Lake Hills, TX 78746-6450
Phone (512) 577-9802

Other practice location 1

2525 Wallingwood Dr Bldg 7C
Austin, TX 78746-6929
Phone (512) 577-9802

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

LicenseStateTypeSpecialty
U02276MDMDAcupuncturist
AC01800TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Tao Blossom PLLC Acupuncturist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1053770354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S CAPITAL OF TEXAS HWY STE 210",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466450",
            "telephone_number": "512-577-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S CAPITAL OF TEXAS HWY STE 210",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466450",
            "telephone_number": "512-577-9802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Wallingwood Dr Bldg 7C",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787466929",
            "country_code": "US",
            "telephone_number": "512-577-9802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "DEVON",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02276",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.