Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jon R. Gray, DC

Individual provider Chiropractor · NPI 1558377168

Jon R. Gray, DC is a Chiropractic in Boise, Idaho. Qualified in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
26
Licensed in
ID
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

13238 W Persimmon Ln Ste 102
Boise, ID 83713-1968
Phone: (208) 854-0600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIA931 (ID)

Record details

NPI number1558377168
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedAugust 1, 2006
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address13238 W Persimmon Ln Ste 102, Boise, ID 83713-1968

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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