NPI age
13 years
Enumerated 2012-11-28
● Active Type 2 · Organization
Jon R Gray Chiropractic, Llc
Jon R Gray Chiropractic, Llc is 1 of 1165 chiropractor organizations in Idaho.
Primary specialty
Chiropractor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gray
Ceo
Last NPPES update
2012-11-28
Source: monthly bulk 2026-05
How this organization compares
Across 1165 active chiropractor providers in Idaho.
NPI age
13 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-11Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
13125 W Persimmon Ln Ste 175
Boise, ID 837132081
Mailing address
13125 W Persimmon Ln Ste 175
Boise, ID 837132081
Authorized official
Jon Gray, DC
Ceo
📞 2088540600
Specialties
-
Chiropractor PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1558377168 | |
| 01 | 1674447 | PTAN |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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