Richard Grayson

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

P313 Issued in CT

Legal business name

RICHARD GRAYSON

Practice address

40 Avon Meadow LN
Avon, CT 06001-3753

Phone

(860) 677-7733

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Jeffrey Grayson, D.P.M.NPI 1184618480

Title

Owner

Phone

(860) 677-7733

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Jeffrey Grayson, DPM

  • Podiatrist
  • Avon, CT
  • NPI 1184618480
  NPD Authorized official

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1952583718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AVON MEADOW LN",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013753",
            "telephone_number": "860-677-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AVON MEADOW LN",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013753",
            "telephone_number": "860-677-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD GRAYSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-677-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CT",
            "license": "P313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004050050",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanthi Rao, M.S.W.
• Rachael Reed, PA
• Malika Akilah Reeves
• Alexis Marie Relyea-Niemann
• Jaime Nicole Ricard, SLP
• Cristina Richards, MSPT
• Emily Elena Ridenour, LMSW
• Alison Kathleen Riley, NP-C, ATC, CHPT,
• Kristie L Riley, LPC, LMHC
• Andrea Rindone, LCSW

• Foot Surgery Podiatrist in Avon, CT
• Providers in Avon, CT by specialty
• Foot Surgery Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.