Individual provider Active NPI

Jamison William Gray, DC

  • Chiropractor
  • Mandan, ND
National Provider Identifier
1942167887
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1239 Issued in ND
Practice address
1302 1St St NE
Mandan, ND 58554-3784
Phone
(701) 663-0480
NPI assigned
Jan 5, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1239 ND Primary

Addresses

Primary practice location

1302 1St St NE
Mandan, ND 58554-3784

Mailing address

5642 Yukon Dr
Bismarck, ND 58503-6846
Phone (701) 690-8455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114003913 ND Practitioner - Chiropractic 5890271381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mandan Chiropractic Clinic IncGroup PAC ID 6305815762, 2 clinicians

Practice addresses (Care Compare)

1302 1St St NE
Mandan, ND 58554-3784
Phone (701) 663-0480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1239NDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mandan Chiropractic Clinic Inc. Chiropractor CurrentSince Jan 7, 2026 Accepting new patients
Schoepp Family Chiropractic, P. C. PastSince Jan 7, 2026 Accepting new patients

Locations

1302 1st St NE
Mandan, ND 58554
Phone (701) 663-0480

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1942167887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5642 YUKON DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036846",
            "telephone_number": "701-690-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 1ST ST NE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543784",
            "telephone_number": "701-663-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JAMISON",
        "middle_name": "WILLIAM",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandan, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.