NPIMap

Organization Active NPI

Gray Chiropractic Health Clinic LLC

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1750655320
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
482 Issued in AK
Legal business name
GRAY CHIROPRACTIC HEALTH CLINIC LLC
Practice address
360 E International Airport Rd Ste 4
Anchorage, AK 99518-1217
Phone
(907) 563-7700
Fax
(907) 563-7710
NPI assigned
Feb 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Dr. Charles Gray, D.C.
Title
Owner
Phone
(907) 563-7700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 469 AK
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 482 AK Primary

Addresses

Primary practice location

360 E International Airport Rd Ste 4
Anchorage, AK 99518-1217

Mailing address

360 E International Airport Rd Ste 4
Anchorage, AK 99518-1217
Phone (907) 563-7700

Other identifiers 1

IdentifierTypeStateIssuer
K163271OtherAKMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

360 E Intl Airport Rd
Ste 4
Anchorage, AK 99518
Phone (907) 563-7700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1750655320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E INTERNATIONAL AIRPORT RD STE 4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181217",
            "telephone_number": "907-563-7700",
            "fax_number": "907-563-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E INTERNATIONAL AIRPORT RD STE 4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181217",
            "telephone_number": "907-563-7700",
            "fax_number": "907-563-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY CHIROPRACTIC HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-563-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "469",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K163271",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.