NPIMap

Organization Active NPI

Blase J. Grayson, DC, PC

  • Chiropractor
  • Webster, NY
National Provider Identifier
1194960724
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3554-1 Issued in NY
Legal business name
BLASE J. GRAYSON, DC, PC
Practice address
130 E Main St
Webster, NY 14580-3230
Phone
(585) 265-1317
Fax
(585) 265-1317
NPI assigned
Dec 11, 2008
Last updated
Jul 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Dr. Blase J Grayson, D.C.NPI 1245290030
Title
Owner
Phone
(585) 265-1317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3554-1 NY Primary

Addresses

Primary practice location

130 E Main St
Webster, NY 14580-3230

Mailing address

130 E Main St
Webster, NY 14580-3230
Phone (585) 265-1317

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1194960724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E MAIN ST",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803230",
            "telephone_number": "585-265-1317",
            "fax_number": "585-265-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E MAIN ST",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803230",
            "telephone_number": "585-265-1317",
            "fax_number": "585-265-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLASE J. GRAYSON, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "BLASE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-265-1317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "3554-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.