Individual provider Active NPI

Aaron Kyle Gray, D.C.

  • Chiropractor
  • Norman, OK
National Provider Identifier
1295150548
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4138 Issued in OK
Practice address
6401 N Interstate Dr
Norman, OK 73069-9514
Phone
(405) 728-4851
NPI assigned
Feb 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4138 OK Primary

Addresses

Primary practice location

6401 N Interstate Dr
Norman, OK 73069-9514

Mailing address

6401 N Interstate Dr
Norman, OK 73069-9514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827002262 NM Practitioner - Chiropractic 2163647660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lonnie Peets PCGroup PAC ID 2860305497, 2 clinicians

Practice addresses (Care Compare)

4111 Barbara Loop
Suite C1
Rio Rancho, NM 87124-1068

4111 Barbara Loop SE
Rio Rancho, NM 87124-1068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4138OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lonnie Peets PC Chiropractor CurrentSince Jul 15, 2015 Accepting new patients

Locations

4111 Barbara Loop SE
Ste C1
Rio Rancho, NM 87124
Phone (505) 891-3111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1295150548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 N INTERSTATE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730699514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 N INTERSTATE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730699514",
            "telephone_number": "405-728-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "AARON",
        "middle_name": "KYLE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.