NPIMap

Organization Active NPI

Philip M Gray, DDS, PLLC

  • Dental Clinic/Center
  • Edmond, OK
National Provider Identifier
1134845712
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PHILIP M GRAY, DDS, PLLC
Practice address
1617 E Danforth Rd
Edmond, OK 73034-3103
Phone
(405) 330-5458
NPI assigned
Oct 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Authorized official

Name
Dr. Philip M GrayNPI 1366889891
Title
Owner/Dentist
Phone
(405) 513-2204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1617 E Danforth Rd
Edmond, OK 73034-3103

Mailing address

1617 E Danforth Rd
Edmond, OK 73034-3103
Phone (405) 330-5458

National Provider Directory

National Provider Directory

Locations

1617 E Danforth Rd
Edmond, OK 73034
Phone (405) 330-5458

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1134845712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 E DANFORTH RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343103",
            "telephone_number": "405-330-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E DANFORTH RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343103",
            "telephone_number": "405-330-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP M GRAY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-16",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "405-513-2204",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.