Ken K Grey, D.O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2193 Issued in FL

Practice address

1025 Military TRL
Suite 113
Jupiter, FL 33458-7040

Phone

(561) 354-1002

NPI assigned

Apr 6, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgrey19940@jupitermedicalcenter.direct-ci.com

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.

• Vell LLC

  • Acupuncturist
  • Jupiter, FL
  • NPI 1629928924
  NPD Authorized official

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1245472257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S US HIGHWAY 1 STE 203-242",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334771198",
            "telephone_number": "561-746-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MILITARY TRL",
            "address_2": "SUITE 113",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587040",
            "telephone_number": "561-354-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREY",
        "first_name": "KEN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khadijah Nicosha Gray
• Deborah Grayhills, R.N.F.A.
• Kevin Roy Green, M.D.
• Burton Howard Greenberg, M.D.
• Paula Jarger Greene, APRN
• Meaghan Jewel Griffin, BSN, RN
• Jaidalyn Gromadzki
• Shifra Leah Gross, PSY.D.
• Siobhan McRostie Gross, RN, BSN, CDE
• Group M Dermatology PA

• Acupuncturist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.