Organization Active NPI

Fred Grayson Inc

  • Chiropractor
  • Lauderhill, FL
National Provider Identifier
1194024109
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0002445 Issued in FL
Legal business name
FRED GRAYSON INC
Practice address
6800 W Commercial Blvd
Lauderhill, FL 33319-2149
Phone
(954) 741-7000
Fax
(954) 749-5765
NPI assigned
Mar 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Dr. Fred Grayson
Title
President
Phone
(954) 741-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0002445 FL Primary

Addresses

Primary practice location

6800 W Commercial Blvd
Lauderhill, FL 33319-2149

Mailing address

6800 W Commercial Blvd
Lauderhill, FL 33319-2149
Phone (954) 741-7000

National Provider Directory

National Provider Directory

Locations

6800 W Commercial Blvd
Ste 4
Lauderhill, FL 33319
Phone (954) 741-7000

6800 W Commercial Blvd
Lauderhill, FL 33319
Phone (954) 741-7000

Practitioners & affiliated clinicians

Practitioners 1

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": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1194024109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 W COMMERCIAL BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192149",
            "telephone_number": "954-741-7000",
            "fax_number": "954-749-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 W COMMERCIAL BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192149",
            "telephone_number": "954-741-7000",
            "fax_number": "954-749-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED GRAYSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-741-7000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0002445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.