Gray Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC19806 Issued in CA

Legal business name

GRAY CHIROPRACTIC PC

Practice address

414 9TH St
Crescent City, CA 95531-3430

Phone

(707) 465-4729

NPI assigned

May 19, 2008

Last updated

May 19, 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. Sean Gray, D.C.NPI 1114079175

Title

Owner

Phone

(707) 465-4729

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Sean Gray, D.C.

  • Chiropractor
  • Crescent City, CA
  • NPI 1114079175
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1770740607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 9TH ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955313430",
            "telephone_number": "707-465-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 9TH ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955313430",
            "telephone_number": "707-465-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-465-4729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Raquel Gonzales-Flores
• David Gonzales
• Kenyetta Michelle Gordon, MD
• Vicki R Gordon, MD PHD
• John Michael Goss, P.T.
• Sean Gray, D.C.
• Holly Greene
• Brian Randall Greenough, PHARM.D.
• Gloria Grimblot, RDCSP
• Kelly Gronlund-Roberts

• Chiropractor in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.