Individual provider Active NPI

Selena Paige Gray, D.C.

  • Rehabilitation Chiropractor
  • San Antonio, TX
National Provider Identifier
1407077985
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
6369 Issued in TX
Practice address
7616 Culebra Rd
Suite 130
San Antonio, TX 78251-1476
Phone
(210) 509-2603
Fax
(210) 509-2637
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 6369 TX Primary

Addresses

Primary practice location

7616 Culebra Rd
Suite 130
San Antonio, TX 78251-1476

Mailing address

7616 Culebra Rd
Suite 130
San Antonio, TX 78251-1476
Phone (210) 509-2603

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

LicenseStateTypeSpecialty
6369TXMDRehabilitation Chiropractor

Interoperability endpoints

  • Direct secure messaging: selena.gray.1@30127.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1407077985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 CULEBRA RD",
            "address_2": "SUITE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511476",
            "telephone_number": "210-509-2603",
            "fax_number": "210-509-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 CULEBRA RD",
            "address_2": "SUITE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511476",
            "telephone_number": "210-509-2603",
            "fax_number": "210-509-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SELENA",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "6369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.