Stephanie Gray, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010580 Issued in MI

Practice address

10990 Chicago Dr
Zeeland, MI 49464-8100

Phone

(616) 546-3500

NPI assigned

Jan 22, 2018

Last updated

Nov 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Siewert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1841708161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10990 CHICAGO DR",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648100",
            "telephone_number": "616-546-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 CHICAGO DR",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648100",
            "telephone_number": "616-546-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "STEPHANIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SIEWERT",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meagan Nicole Goldsmith, LMSW
• Sarah Wiersma Gorski, NP
• Kaitlyn Nicole Gould, LMSW
• Mylee M Graham
• Emily J Grant
• Jeffrey J. Green, P.T
• Lauren Green
• Bruce Lamoine Greenlee, PT
• Pamela Steele Gregg, NP
• Debra Gritter, LMSW

• Chiropractor in Zeeland, MI
• Providers in Zeeland, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.