Samuel a Gray DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006572 Issued in MI

Legal business name

SAMUEL A GRAY DC

Doing business as

Summit Chiropractic PLLC

Practice address

2801 Elizabeth Lake Rd
Suite 100
Waterford, MI 48328

Phone

(248) 683-6260

Fax

(248) 683-0256

NPI assigned

Mar 2, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Adam Gray, DCNPI 1992834535

Title

Owner

Phone

(248) 683-6260

Specialties & licenses 1

Addresses

Other names 1

• Summit Chiropractic PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Adam Gray, DC

  • Chiropractor
  • Waterford, MI
  • NPI 1992834535
  NPD (past) Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1427187061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ELIZABETH LAKE ROAD",
            "address_2": "SUITE 100",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48328",
            "telephone_number": "248-683-6260",
            "fax_number": "248-683-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ELIZABETH LAKE RD",
            "address_2": "SUITE 100",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48328",
            "telephone_number": "248-683-6260",
            "fax_number": "248-683-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL A GRAY DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-683-6260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Chiropractic PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Lee Saltzman, NP
• Leonard C Salvia, D.O.
• Sam's Club Optical (Sam's Club Optical 30-6665)
• Samba Jung M D P C
• Sams East Inc (Sams Pharmacy 10-6665)
• Sandra Flury Counseling PLLC
• Brenda L Sanford, M.D.
• Brooke Shivon Sankiewicz
• Erica Saran, MSW
• Jillian A. Sarazin

• Chiropractor in Waterford, MI
• Providers in Waterford, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.