Organization Active NPI

Gray Chiropractic, L.L.C

  • Chiropractor
  • Independence, MO
National Provider Identifier
1720274681
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6400 Issued in MO
Legal business name
GRAY CHIROPRACTIC, L.L.C
Practice address
3800 S. Elizabeth Ave
Ste. F
Independence, MO 64057
Phone
(816) 795-1121
Fax
(816) 795-8141
NPI assigned
Sep 24, 2007
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. James Christopher Gray, D.C.NPI 1245239383
Title
President
Phone
(816) 795-1121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6400 MO Primary

Addresses

Primary practice location

3800 S. Elizabeth Ave
Ste. F
Independence, MO 64057

Mailing address

3800 S. Elizabeth Ave
Ste. F
Independence, MO 64057
Phone (816) 795-1121

Other identifiers 1

IdentifierTypeStateIssuer
32978019OtherMOBLUE CROSS BLUE SHIELD OF KANSAS CITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081229000160 MO Part B Supplier - Clinic/Group Practice 3870655897 Receives reassigned benefits from 2 practitioners
Practice locations: Independence, MO

National Provider Directory

National Provider Directory

Locations

3800 S Elizabeth St
Ste F
Independence, MO 64057
Phone (816) 795-1121

Interoperability endpoints

  • Direct secure messaging: drgray7@gc0013.direct.chirotouch.md
  • Direct secure messaging: drjosh@gc0013.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1720274681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S. ELIZABETH AVE",
            "address_2": "STE. F",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64057",
            "telephone_number": "816-795-1121",
            "fax_number": "816-795-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S. ELIZABETH AVE",
            "address_2": "STE. F",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64057",
            "telephone_number": "816-795-1121",
            "fax_number": "816-795-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY CHIROPRACTIC, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-795-1121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "6400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF KANSAS CITY",
            "identifier": "32978019",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.