Sean Gray, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

19806 Issued in CA

Practice address

414 9TH St
Crescent City, CA 95531-3430

Phone

(707) 465-4729

Fax

(707) 465-5901

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gray Chiropractic PC

  • Chiropractor
  • Crescent City, CA
  • NPI 1770740607

  CA, Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114079175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 9TH ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955313430",
            "telephone_number": "707-465-4729",
            "fax_number": "707-465-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 9TH ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955313430",
            "telephone_number": "707-465-4729",
            "fax_number": "707-465-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "19806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Gonzales
• Kenyetta Michelle Gordon, MD
• Vicki R Gordon, MD PHD
• John Michael Goss, P.T.
• Gray Chiropractic PC
• Holly Greene
• Brian Randall Greenough, PHARM.D.
• Gloria Grimblot, RDCSP
• Kelly Gronlund-Roberts
• Valerie Nicole Guilmette-McKinsey

• All providers in Crescent City, CA
• Chiropractor in California

• 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.
• 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.

Verify at the official NPI Registry.