Individual provider Active NPI

Aaron Marc Gray II, D.C.

  • Chiropractor
  • Bloomfield Hills, MI
National Provider Identifier
1891958062
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009481 Issued in MI
Practice address
6405 Telegraph Rd
Suite D-2
Bloomfield Hills, MI 48301-1716
Phone
(248) 647-3336
Fax
(248) 647-4899
NPI assigned
Jul 8, 2008
Last updated
Oct 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009481 MI Primary

Addresses

Primary practice location

6405 Telegraph Rd
Suite D-2
Bloomfield Hills, MI 48301-1716

Mailing address

6405 Telegraph Rd
Suite D-2
Bloomfield Hills, MI 48301-1716
Phone (248) 647-3336

Other identifiers 1

IdentifierTypeStateIssuer
95-0-F3-6299-0OtherMIBLUE CROSS BLUE SHEILD OF MICHIGAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081022000475 MI Practitioner - Chiropractic 6507924347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gray Chiropractic and Wellness CenterGroup PAC ID 4587722327, 2 clinicians

Practice addresses (Care Compare)

6405 Telegraph Rd
Suite D2
Bloomfield Hills, MI 48301-1775
Phone (248) 647-3336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009481MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gray Chiropractic & Wellness Center Chiropractor CurrentSince Jul 1, 2008 Accepting new patients
Henry Ford West Bloomfield Hospital CurrentSince Nov 1, 2011 Accepting new patients
Henry Ford West Bloomfield Hospital Current Accepting new patients
Henry Ford West Bloomfield Hospital Chiropractor CurrentSince Nov 1, 2011 Accepting new patients
Gray Chiropractic Services, P.C. Chiropractor PastSince Jul 1, 2008 Accepting new patients

Locations

6405 Telegraph Rd
Ste D2
Bloomfield Hills, MI 48301
Phone (248) 647-3336

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1891958062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 TELEGRAPH RD",
            "address_2": "SUITE D-2",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011716",
            "telephone_number": "248-647-3336",
            "fax_number": "248-647-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 TELEGRAPH RD",
            "address_2": "SUITE D-2",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011716",
            "telephone_number": "248-647-3336",
            "fax_number": "248-647-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "AARON",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD OF MICHIGAN",
            "identifier": "95-0-F3-6299-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.