Organization Active NPI

Gray Chiropractic & Wellness Center

  • Chiropractor
  • Bloomfield Hills, MI
National Provider Identifier
1154586261
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GRAY CHIROPRACTIC & WELLNESS CENTER
Practice address
6405 Telegraph Rd
D2
Bloomfield Hills, MI 48301-1716
Phone
(248) 647-3336
Fax
(248) 647-4899
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
Dr. Aaron M. Gray II, D.C.
Title
President
Phone
(248) 547-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6405 Telegraph Rd
D2
Bloomfield Hills, MI 48301-1716

Mailing address

6405 Telegraph Rd
D2
Bloomfield Hills, MI 48301-1716
Phone (248) 647-3336

Other identifiers 1

IdentifierTypeStateIssuer
950F362990OtherMIBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081022000487 MI Part B Supplier - Clinic/Group Practice 4587722327 Receives reassigned benefits from 2 practitioners
Practice locations: Bloomfield Hills, MI

National Provider Directory

National Provider Directory

Locations

6405 Telegraph Rd
Ste D2
Bloomfield Hills, MI 48301
Phone (248) 647-3336

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1154586261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 TELEGRAPH RD",
            "address_2": "D2",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011716",
            "telephone_number": "248-647-3336",
            "fax_number": "248-647-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 TELEGRAPH RD",
            "address_2": "D2",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011716",
            "telephone_number": "248-647-3336",
            "fax_number": "248-647-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY CHIROPRACTIC & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "GRAY II",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-547-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "950F362990",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.