Active NPI
Sierra Gray
- Contractor
- Grosse Pointe, MI
National Provider Identifier
1578939930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 5202006963
- Practice address
- 890 Cadieux
Grosse Pointe, MI 48230 - Phone
- (313) 586-2008
- NPI assigned
- Aug 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 5202006963 | MI | Primary |
Addresses
Primary practice location
890 Cadieux
Grosse Pointe, MI 48230
Mailing address
890 Cadieux Rd
Grosse Pointe, MI 48230-1234
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 |
|---|---|---|---|
| 5202006963 | MI | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas L Campbell D.C, P.C | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1578939930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 CADIEUX RD",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482301234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 CADIEUX",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "48230",
"telephone_number": "313-586-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "SIERRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MI",
"license": "5202006963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grosse Pointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.