Active NPI
Noel W Gray, DC
- Chiropractor
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1397
- Practice address
- 1807 University Blvd S
Jacksonville, FL 32216-8930 - Phone
- (904) 721-5464
- NPI assigned
- Jul 12, 2017
- 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 | 1397 | HI | Primary |
Addresses
Primary practice location
1807 University Blvd S
Jacksonville, FL 32216-8930
Mailing address
1807 University Blvd S
Jacksonville, FL 32216-8930
Phone (904) 721-5464
Other practice location 1
95-023 Waihau St Apt E241
Mililani, HI 96789-3384
Phone (315) 573-4461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2888 S 8TH St
Fernandina Beach, FL 32034-4462
Phone (904) 321-0002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1397 | HI | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R D Rice Chiropractic PA | Chiropractor | Current | Accepting new patients |
| Coastline Chiropractic Hawaii LLC | Chiropractor | Current | Accepting new patients |
| River Hills Chiropractic Clinic Inc | Current | Accepting new patients | |
| Amelia Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Locations
2888 S 8th St
Fernandina Beach, FL 32034
Phone (904) 321-0002
1807 University Blvd S
Jacksonville, FL 32216
Phone (904) 721-5464
Organizations & group practices 4
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.
-
- Chiropractor
- Fernandina Beach, FL
- NPI 1316230931
-
- Chiropractor
- Mililani, HI
- NPI 1720621196
-
- Rehabilitation Chiropractor
- Jacksonville, FL
- NPI 1447595889
-
- Chiropractor
- Fernandina Beach, FL
- NPI 1265477848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1972025831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168930",
"telephone_number": "904-721-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168930",
"telephone_number": "904-721-5464"
}
],
"practiceLocations": [
{
"address_1": "95-023 Waihau St Apt E241",
"address_purpose": "LOCATION",
"city": "Mililani",
"state": "HI",
"postal_code": "967893384",
"country_code": "US",
"telephone_number": "315-573-4461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "NOEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-12",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "1397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.