Victoria Susan Gray, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00205584 Issued in CO

Practice address

300 E Alameda Ave
Denver, CO 80209-1757

Phone

(303) 531-7450

NPI assigned

May 22, 2023

Sex

Female

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

Other names 1

• Victoria Moser Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fountain Modern Dentistry and Orthodontics, LLP

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1730434622
  NPD (past)

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1083306740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9694 DESERT PAINT BRUSH CT",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345151",
            "telephone_number": "303-551-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E ALAMEDA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802091757",
            "telephone_number": "303-531-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "VICTORIA",
        "middle_name": "SUSAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00205584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DORA",
            "identifier": "DEN.00205584",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "MOSER",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ruby Katherine Louise Gray, MSW, LSW
• Sierra Virginia Gray, PA-C
• Tammy Jean Gray, O.D.
• Tyler Gray
• Victoria Gray
• David Lowell Graybill, MD
• Daniela E Grayeb, MD
• Margaret Grayson, OTR/L
• Carol Lynn Graziano, RN
• Greater Denver Home Health Care Inc

• General Practice Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.