James A Gray, D.C.
Individual provider Active NPI Chiropractor · Salem, MO
NPI 1598747784 · NPPES record last updated Nov 5, 2007
Key facts
- NPI
- 1598747784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3016 (MO)
- Practice address
- 504 N Washington St
Salem, MO 65560-1268 - Phone
- (573) 729-5321
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3016 | MO | MD | Chiropractor |
| 003016 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gray Family Chiropractors | Chiropractor | Past | Accepting new patients |
| Cornerstone Chiropractor Clinic LLC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3016 | MO | Yes |
Addresses
Primary practice location
504 N Washington St
Salem, MO 65560-1268
Mailing address
504 N Washington St
Salem, MO 65560-1268
Phone (573) 729-5321
Other providers in Salem, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.