Individual provider Active NPI

Marcia Irving-Ray, DDS

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1164499380
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-022235 Issued in OH
Practice address
2805 Gilbert Ave
Cincinnati, OH 45206-1210
Phone
(513) 281-4116
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-022235 OH Primary

Addresses

Primary practice location

2805 Gilbert Ave
Cincinnati, OH 45206-1210

Mailing address

2415 Auburn Ave
Cincinnati, OH 45219-2701
Phone (513) 221-4949

Other identifiers 1

IdentifierTypeStateIssuer
2597033MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20160401000346 OH Order and Referring Only - DentistPractitioner - Dentist 5092866830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-022235OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Equitas Health,Inc Past Accepting new patients
Neighborhood Health Care, Inc. PastSince Dec 22, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mirvingray328799@direct.ochin.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1164499380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192701",
            "telephone_number": "513-221-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 GILBERT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061210",
            "telephone_number": "513-281-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVING-RAY",
        "first_name": "MARCIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-022235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2597033",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.