Active NPI
Devon Gray, L.AC.
- Acupuncturist
- West Lake Hills, TX
National Provider Identifier
1053770354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC01800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| U02276 | MD | MD | Acupuncturist |
| AC01800 | TX | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New 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.