Active NPI
Lawrence Llyod Gray, DC
- Chiropractor
- Lawrence, MA
National Provider Identifier
1104833268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2057
- Practice address
- 420 Common St
Advanced Spine Centers Inc
Lawrence, MA 01840 - Phone
- (978) 557-9072
- Fax
- (978) 557-9075
- NPI assigned
- Aug 2, 2006
- 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 | 2057 | MA | Primary |
Addresses
Primary practice location
420 Common St
Advanced Spine Centers Inc
Lawrence, MA 01840
Mailing address
10 Dunstan Landing Rd
Scarborough, ME 04074-9202
Phone (207) 332-9666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y36540 | Medicaid | MA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2057 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Img Medical Group | Chiropractor | Past | Accepting new patients |
| Advantage Health & Wellness Inc | Chiropractor | Past | Accepting new patients |
| Back & Neck Treatment Center Inc | Chiropractor | Past | Accepting new patients |
| Chiropractic Care Centers, Inc | Past | Accepting new patients | |
| Advanced Spine Centers, Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104833268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DUNSTAN LANDING RD",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749202",
"telephone_number": "207-332-9666",
"fax_number": "978-557-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 COMMON ST",
"address_2": "ADVANCED SPINE CENTERS INC",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "01840",
"telephone_number": "978-557-9072",
"fax_number": "978-557-9075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "LAWRENCE",
"middle_name": "LLYOD",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Y36540",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.