Active NPI
Blase J Grayson, D.C.
- Chiropractor
- Webster, NY
National Provider Identifier
1245290030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3554-1
- Practice address
- 130 E Main St
Webster, NY 14580-3230 - Phone
- (585) 265-1317
- Fax
- (585) 265-1317
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7401321 | Other | NY | AETNA |
| 16-1408974-01 | Other | NY | PRISM |
| 100110AN | Other | NY | PREFERRED CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3554 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 003554 | NY | MD | Mental Health Counselor |
| 3554-1 | NY | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Chiropractor
- Webster, NY
- NPI 1194960724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245290030",
"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": {
"last_name": "GRAYSON",
"first_name": "BLASE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "3554-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7401321",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRISM",
"identifier": "16-1408974-01",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "100110AN",
"state": "NY"
}
],
"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, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.