Samuel Adam Gray, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006572 Issued in MI

Practice address

2801 Elizabeth Lake Road
Suite 100
Waterford, MI 48328

Phone

(248) 683-6260

Fax

(248) 683-0256

NPI assigned

Mar 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Regenerative HealthGroup PAC ID 6406295849, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

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

• Katie Kristin Zimmerman, D.C.

  • Chiropractor
  • Ann Arbor, MI
  • NPI 1871553214
  Medicare reassignment

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.

• Summit Regenerative Health

  • Chiropractor
  • Waterford, MI
  • NPI 1518734797
  Medicare reassignment Care Compare group NPD Authorized official
• Samuel a Gray DC

  • Chiropractor
  • Waterford, MI
  • NPI 1427187061
  NPD (past) Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1992834535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ELIZABETH LAKE RD",
            "address_2": "SUITE 100",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48328",
            "telephone_number": "248-683-6260",
            "fax_number": "248-683-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ELIZABETH LAKE ROAD",
            "address_2": "SUITE 100",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48328",
            "telephone_number": "248-683-6260",
            "fax_number": "248-683-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SAMUEL",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Graham, LPC
• Aubrey Anne Grant, MA, LPC
• Shelbi Grant, CPT
• David Lashawn Graves
• Kateri Gray, LLMSW
• Great Lakes Clinical Group, P.C
• Great Lakes Neuromonitoring, PLLC
• Great Lakes Podiatry Associates PLLC
• Greater Oakland Visiting Nurse Association, Inc.
• Susan Marie Grech, RN

• Chiropractor in Waterford, MI
• Providers in Waterford, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.