Lawrence Dennis Gray Jr., D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

2140 Issued in NC

Practice address

223 Harper St
Winston Salem, NC 27104-3849

Phone

(336) 774-1624

Fax

(336) 774-8744

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gray Chiropractic and Sports Associates, P.a.

  • Sports Physician Chiropractor
  • Winston Salem, NC
  • NPI 1881786556

  NC, Sports Physician

  Medicare reassignment NPD Authorized official

Specialty

Chiropractic

Education

National College of Chiropractic, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1316967458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 HARPER ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043849",
            "telephone_number": "336-774-1624",
            "fax_number": "336-774-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 HARPER ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043849",
            "telephone_number": "336-774-1624",
            "fax_number": "336-774-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LAWRENCE",
        "middle_name": "DENNIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "2140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "11370",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890844M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A4613",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0844M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Graves, M.D.
• Kwanda Lee Graves
• Rachel Lynn Graves, MD
• Gray Chiropractic and Sports Associates, P.a.
• Latonya Shari Gray, DNP, PMHNP-BC
• Samuel Bemiss Gray, PSY.D
• Shaketha Acquinetta Gray, M.D
• Sheila J Gray, M.A., CCC-A
• Theresa Gray, MHS PA-C
• Andrea Helen Graziano

• All providers in Winston Salem, NC
• Sports Physician Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.