Gregory Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003156 Issued in WA

Legal business name

GREGORY CHIROPRACTIC INC

Practice address

11201 88TH Ave E
Suite 120
Puyallup, WA 98373-3802

Phone

(253) 864-6519

Fax

(253) 864-0673

NPI assigned

Nov 15, 2006

Last updated

Aug 22, 2020By 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. Leroy Robert Gregroy

Title

Owner

Phone

(253) 864-6519

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 6

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.

• Leroy Robert Gregory, D.C.

  • Chiropractor
  • Puyallup, WA
  • NPI 1639241367
  Medicare reassignment NPD
• Stephanie Virginia Fischer, LMT

  • Massage Therapist
  • Puyallup, WA
  • NPI 1255172920
  NPD (past)
• Natasha Kallir, LMT

  • Massage Therapist
  • Puyallup, WA
  • NPI 1073829693
  NPD (past)
• Dinel Rose Konrad, LMP

  • Massage Therapist
  • Puyallup, WA
  • NPI 1467582601
  NPD (past)
• Brenda Darlene Russell-Hospenthal, LMP

  • Specialist
  • Puyallup, WA
  • NPI 1962548362
  NPD (past)
• Shawna L Williams, LMT

  • Massage Therapist
  • Bellevue, WA
  • NPI 1790804870
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881766426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 88TH AVE E",
            "address_2": "SUITE 120",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733802",
            "telephone_number": "253-864-6519",
            "fax_number": "253-864-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 88TH AVE E",
            "address_2": "SUITE 120",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733802",
            "telephone_number": "253-864-6519",
            "fax_number": "253-864-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREGROY",
        "authorized_official_first_name": "LEROY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-864-6519",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00158090",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "135018",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla L Green, PA-C
• Madison Green, PA-C
• Mary J, Phillips Green, PHD,LMHC,LMFT, LCPC
• Renae Dina Green, CCC-SLP
• Kimberly Greger, RN
• Julian David Gregory II, L.AC.
• Leroy Robert Gregory, D.C.
• Makenzi Marlene Gregory, LMHC
• Jeremy Gries
• Kiara Aimee Gries

• Chiropractor in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.