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JON R GRAY CHIROPRACTIC, LLC
NPI 1881939171
Chiropractor in Boise, ID

Active since November 28, 2012
13125 W PERSIMMON LN STE 175, BOISE, ID 83713(208) 854-0600(208) 375-5545 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jon R Gray Chiropractic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JON R GRAY CHIROPRACTIC, LLC (NPI 1881939171) is a healthcare organization registered as a chiropractor in Boise, Idaho and active in the NPI registry since November 2012. The organization lists Jon Gray, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881939171
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJON R GRAY CHIROPRACTIC, LLC
Location Address13125 W PERSIMMON LN STE 175Boise, ID 83713-2081
Mailing Address13125 W Persimmon Ln Ste 175Boise, ID 83713-2081 · (208) 854-0600 · Fax (208) 375-5545
Phone(208) 854-0600
Fax(208) 375-5545
Organization SubpartNo
Authorized OfficialJon GrayCeo · (208) 854-0600
Enumeration DateNovember 28, 2012
✔ NPI 1881939171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-931
Definition
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.
13125 W PERSIMMON LN STE 175, Boise, ID 83713
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Other Identifiers 2

Other1674447Ptan
Medicaid1558377168ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon R Gray Chiropractic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jon R Gray Chiropractic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jon Gray, D.C.
Chiropractic
NPI 1558377168
13238 W PERSIMMON LN STE 102
Boise, ID 83713
(208) 854-0600
✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon R Gray Chiropractic, LLC's NPI number?

The NPI number for Jon R Gray Chiropractic, LLC is 1881939171. It was assigned to this organization in the NPPES registry on November 28, 2012.

Where is Jon R Gray Chiropractic, LLC located?

Jon R Gray Chiropractic, LLC is located at 13125 W Persimmon Ln Ste 175, Boise, ID 83713. The listed phone number is (208) 854-0600.

What is Jon R Gray Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jon R Gray Chiropractic, LLC enrolled in Medicare?

Yes. Jon R Gray Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jon R Gray Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Jon R Gray Chiropractic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jon R Gray Chiropractic, LLC was last updated on November 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.