Edward John Gray, DMD, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

S2-34 Issued in NV

Practice address

1516 Virginia Ranch Rd Ste 1a
Gardnerville, NV 89410-5764

Phone

(775) 782-6491

Fax

(775) 782-6492

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 8, 2015 through Dec 8, 2027

Merit-based Incentive Payment System (MIPS)

Final score

96.42 of 100Reported as group

Quality

93.48

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073623047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 VIRGINIA RANCH RD STE 1A",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105764",
            "telephone_number": "775-782-6491",
            "fax_number": "775-782-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 VIRGINIA RANCH RD STE 1A",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105764",
            "telephone_number": "775-782-6491",
            "fax_number": "775-782-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S2-34",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "900024470",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• GD Schwartz Medical PC
• Caren Gleave, RN, RNFA, CNOR
• Lynne Goldsmith, LMFT, LCPC, NCC, MA
• Feather Grace Gonzalez
• Barbara Ellen Gould, PT
• Great Basin Home Health,LLC.
• Emily Renee Green
• Jennifer Jean Greer, MFT-I
• Dawn L Griffin, CHW
• Kristin Renee Griffith, PHD, BCBA-D, LBA-NV

• Oral and Maxillofacial Surgery (Dentist) in Gardnerville, NV
• Providers in Gardnerville, NV by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• 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.