NPIMap

Organization Active NPI

Gray Cosmetic & Family Dentistry

  • Diagnostic Radiology Physician
  • Midland, TX
National Provider Identifier
1104079334
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
21297 Issued in TX
Legal business name
GRAY COSMETIC & FAMILY DENTISTRY
Doing business as
West Texas Imaging
Practice address
2701 W Cuthbert Ave
Midland, TX 79701-3819
Phone
(432) 694-5741
Fax
(432) 694-5815
NPI assigned
Oct 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Dr. Chet Kenneth Gray, D.D.S.
Title
President
Phone
(432) 694-5741

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 21297 TX
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X 21297 TX Primary

Addresses

Primary practice location

2701 W Cuthbert Ave
Midland, TX 79701-3819

Mailing address

2701 W Cuthbert Ave
Midland, TX 79701-3819
Phone (432) 694-5741

Other names 1

  • West Texas Imaging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gray Cosmetic and Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2701 W Cuthbert Ave
Midland, TX 79701
Phone (432) 262-0704

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1104079334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W CUTHBERT AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797013819",
            "telephone_number": "432-694-5741",
            "fax_number": "432-694-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W CUTHBERT AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797013819",
            "telephone_number": "432-694-5741",
            "fax_number": "432-694-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY COSMETIC & FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CHET",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-694-5741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21297",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "21297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Texas Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.