Active NPI
Austin Montgomery Gray, DC
- Chiropractor
- Rochester, MN
National Provider Identifier
1417554627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6763
- Practice address
- 4229 West Frontage Rd NW
Ste 7
Rochester, MN 55901 - Phone
- (507) 721-9438
- NPI assigned
- Oct 1, 2020
- Sex
- Male
- 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 | 6763 | MN | Primary |
Addresses
Primary practice location
4229 West Frontage Rd NW
Ste 7
Rochester, MN 55901
Mailing address
4229 W Frontage Rd NW
Ste 7
Rochester, MN 55901
Phone (507) 721-9438
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6763 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1417554627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4229 W FRONTAGE RD NW",
"address_2": "STE 7",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55901",
"telephone_number": "507-721-9438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4229 WEST FRONTAGE RD NW",
"address_2": "STE 7",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55901",
"telephone_number": "507-721-9438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "AUSTIN",
"middle_name": "MONTGOMERY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-01",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.