Active NPI
Scott Earl Gray, D.D.S.
- General Practice Dentistry
- Englewood, OH
National Provider Identifier
1114984317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30-01-6992
- Practice address
- 214 W National Rd
Englewood, OH 45322-1430 - Phone
- (937) 836-4747
- Fax
- (937) 832-1187
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30-01-6992 | OH | Primary |
Addresses
Primary practice location
214 W National Rd
Englewood, OH 45322-1430
Mailing address
214 W National Rd
Englewood, OH 45322-1430
Phone (937) 836-4747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114984317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 W NATIONAL RD",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "453221430",
"telephone_number": "937-836-4747",
"fax_number": "937-832-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W NATIONAL RD",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "453221430",
"telephone_number": "937-836-4747",
"fax_number": "937-832-1187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "SCOTT",
"middle_name": "EARL",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30-01-6992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.