Active NPI
Gray Ellison Humphries, DC
- Chiropractor
- Austin, TX
National Provider Identifier
1962059576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14180
- Practice address
- 11800 N Interstate 35
Austin, TX 78753-2211 - Phone
- (512) 284-8660
- NPI assigned
- Aug 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14180 | TX | Primary |
Addresses
Primary practice location
11800 N Interstate 35
Austin, TX 78753-2211
Mailing address
11800 N Interstate 35
Austin, TX 78753-2211
Phone (512) 284-8660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200124001802 | TX | Practitioner - Chiropractic | 4486089265 | Practice locations: Hudson Oaks, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1962059576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11800 N INTERSTATE 35",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787532211",
"telephone_number": "512-284-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 N INTERSTATE 35",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787532211",
"telephone_number": "512-284-8660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHRIES",
"first_name": "GRAY",
"middle_name": "ELLISON",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-20",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.