Active NPI
Catherine M Gray, D.C.
- Chiropractor
- Fridley, MN
National Provider Identifier
1366560278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2996
- Practice address
- 1214 Moore Lake Dr E
Fridley, MN 55432-5170 - Phone
- (763) 571-0800
- Fax
- (763) 571-0924
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- 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 | 2996 | MN | Primary |
Addresses
Primary practice location
1214 Moore Lake Dr E
Fridley, MN 55432-5170
Mailing address
1214 Moore Lake Dr E
Fridley, MN 55432-5170
Phone (763) 571-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5C928MO | Other | MN | BCBS |
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 |
|---|---|---|---|
| 2996 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366560278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 MOORE LAKE DR E",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554325170",
"telephone_number": "763-571-0800",
"fax_number": "763-571-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 MOORE LAKE DR E",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554325170",
"telephone_number": "763-571-0800",
"fax_number": "763-571-0924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "CATHERINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5C928MO",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.