Individual provider Active NPI

James Christopher Gray, D.C.

  • Chiropractor
  • Independence, MO
National Provider Identifier
1245239383
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6400 Issued in MO
Practice address
3800 S Elizabeth St
Suite F
Independence, MO 64057-2650
Phone
(816) 795-1121
Fax
(816) 795-8141
NPI assigned
Jul 20, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6400 MO Primary

Addresses

Primary practice location

3800 S Elizabeth St
Suite F
Independence, MO 64057-2650

Mailing address

3800 S Elizabeth St
Suite F
Independence, MO 64057-2650
Phone (816) 795-1121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081229000129 MO Practitioner - Chiropractic 8628130747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gray Chiropractic LLCGroup PAC ID 3870655897, 2 clinicians

Practice addresses (Care Compare)

3800 S Elizabeth St F
Independence, MO 64057-2652
Phone (816) 795-1121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6400MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gray Chiropractic, L.L.C Chiropractor CurrentSince Aug 1, 2003 Accepting new patients
Blue Springs Chiropractic Clinic PC Chiropractor PastSince Dec 8, 2008 Accepting new patients

Locations

3800 S Elizabeth St
Ste F
Independence, MO 64057
Phone (816) 795-1121

Interoperability endpoints

  • Direct secure messaging: drgray7@gc0013.direct.chirotouch.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245239383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S ELIZABETH ST",
            "address_2": "SUITE F",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572650",
            "telephone_number": "816-795-1121",
            "fax_number": "816-795-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S ELIZABETH ST",
            "address_2": "SUITE F",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572650",
            "telephone_number": "816-795-1121",
            "fax_number": "816-795-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JAMES",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "6400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

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.
  • 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.