James Christopher Gray, D.C.

Individual provider Active NPI Chiropractor · Independence, MO

NPI 1245239383 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1245239383
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
6400 (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
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gray Chiropractic LLC (2 clinicians)

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6400MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gray Chiropractic, L.L.C Chiropractor Current
since Aug 1, 2003
Accepting new patients
Blue Springs Chiropractic Clinic PC Chiropractor Past
since 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6400 MO Yes

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

Other identifiers

IdentifierTypeStateIssuer
22607026OtherMOBCBS PROV #

Other providers in Independence, MO

All providers in Independence, MO · Chiropractor in Missouri

Sources for this page

Verify at the official NPI Registry.