Organization Active NPI

Gray Chiropractic & Wellness Center LLC

  • Chiropractor
  • Warrensburg, MO
National Provider Identifier
1801439906
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GRAY CHIROPRACTIC & WELLNESS CENTER LLC
Practice address
510 E Gay St
Warrensburg, MO 64093-1931
Phone
(660) 429-1900
Fax
(660) 829-9051
NPI assigned
Oct 21, 2019
Last updated
Oct 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

Name
Dr. Layton Wesley Gray, DCNPI 1568960276
Title
Owner
Phone
(660) 429-1900

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 NU Primary

Addresses

Primary practice location

510 E Gay St
Warrensburg, MO 64093-1931

Mailing address

510 E Gay St
Warrensburg, MO 64093-1931
Phone (660) 429-1900

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Chirofusionlive.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191126002814 MO Part B Supplier - Clinic/Group Practice 9335572627 Receives reassigned benefits from 1 practitioner
Practice locations: Warrensburg, MO

National Provider Directory

National Provider Directory

Locations

510 E Gay St
Warrensburg, MO 64093
Phone (660) 429-1900

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1801439906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E GAY ST",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931931",
            "telephone_number": "660-429-1900",
            "fax_number": "660-829-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E GAY ST",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931931",
            "telephone_number": "660-429-1900",
            "fax_number": "660-829-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY CHIROPRACTIC & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LAYTON",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-429-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chirofusionlive.com",
            "affiliation": "N",
            "endpointDescription": "Chiropractic cloud based software",
            "address_1": "510 E Gay St",
            "city": "Warrensburg",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640931931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.