Dr. Samuel J Gray , DC
Chiropractor • Indio, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samuel Gray has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Samuel Gray, DC was a registered Chiropractor practicing in Indio, CA. Throughout an active medical career spanning 9 years, Dr. Gray provided care at the practice location at 81557 DR CARREON BLVD STE A1 until profile deactivation on 2018-08-17.
Practice Location & Contact Primary Location
81557 Dr Carreon Blvd Ste A1
Indio, CA 922015517
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Indio, CA
Practicing in Indio, CA (12100 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 17, 2018
Record deactivated on June 19, 2018
NPI status registered as active in NPPES database
Registered at 81557 DR CARREON BLVD STE A1, INDIO, CA 922015517 (Tel: 7603470544)
Registered at 81557 DR CARREON BLVD STE A1, INDIO, CA 922015517 (Tel: 7603470544)
Recorded as SAMUEL GRAY, D.C.,
Chiropractor (License #11199 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
81557 Dr Carreon Blvd Ste A1
Indio, CA 922015517
Phone: 7603470544
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