Individual provider Active NPI

Austin Ray

  • Chiropractor
  • Frisco, TX
National Provider Identifier
1386270833
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14349 Issued in TX
Practice address
7500 Stonebrook Pkwy Ste 103
Frisco, TX 75034-5378
Phone
(972) 377-7117
NPI assigned
Mar 17, 2020
Last updated
Mar 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14349 TX Primary

Addresses

Primary practice location

7500 Stonebrook Pkwy Ste 103
Frisco, TX 75034-5378

Mailing address

7500 Stonebrook Pkwy Ste 103
Frisco, TX 75034-5378

Other identifiers 1

IdentifierTypeStateIssuer
2796318OtherTX752777200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@graveschiropractic.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
MJM Chiropractic Inc PastSince Mar 22, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1386270833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 STONEBROOK PKWY STE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 STONEBROOK PKWY STE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345378",
            "telephone_number": "972-377-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "752777200",
            "identifier": "2796318",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@graveschiropractic.com",
            "affiliation": "N",
            "address_1": "7500 Stonebrook Pkwy Ste 103",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750345378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.