Organization Active NPI

Gray Chiropractic Offices, P.C.

  • Chiropractor
  • Missoula, MT
National Provider Identifier
1780869933
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GRAY CHIROPRACTIC OFFICES, P.C.
Practice address
3031 S Russell St
Suite 3
Missoula, MT 59801-8540
Phone
(406) 549-4067
Fax
(406) 327-6702
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
David C Gray, D.C.
Title
President/Owner
Phone
(406) 549-4067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3031 S Russell St
Suite 3
Missoula, MT 59801-8540

Mailing address

3031 S Russell St
Suite 3
Missoula, MT 59801-8540
Phone (406) 549-4067

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090618000074 MT Part B Supplier - Clinic/Group Practice 5395895023 Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Locations

3031 S Russell St
Missoula, MT 59801
Phone (406) 549-0119

3031 S Russell St
Ste 3
Missoula, MT 59801
Phone (406) 549-4067

Practitioners & affiliated clinicians

Practitioners 1

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1780869933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 S RUSSELL ST",
            "address_2": "SUITE 3",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018540",
            "telephone_number": "406-549-4067",
            "fax_number": "406-327-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 S RUSSELL ST",
            "address_2": "SUITE 3",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018540",
            "telephone_number": "406-549-4067",
            "fax_number": "406-327-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY CHIROPRACTIC OFFICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "406-549-4067",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.