Ian Cameron Grayson, DDS, MMSC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

064484-01 Issued in NY

Practice address

1717 Walden Ave
Cheektowaga, NY 14225-4924

Phone

(716) 685-2233

NPI assigned

Sep 18, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Locations

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.

• Cambridge Public Health Commission

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1932313228
  Medicare reassignment NPD
• Cambridge Public Health Commission

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1487603585
  NPD

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1194151571",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "43 OVERBROOK PLACE",
            "city": "TORONTO",
            "state": "ON",
            "postal_code": "M3H 4P3"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 WALDEN AVE",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254924",
            "telephone_number": "716-685-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Overbrook Place",
            "address_purpose": "LOCATION",
            "city": "Toronto",
            "state": "ON",
            "postal_code": "M3H 4P3",
            "country_code": "CA",
            "telephone_number": "416-898-5721",
            "country_name": "Canada",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "IAN",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "DDS, MMSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-18",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857123",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "064484-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Graham, MA CCC-SLP
• Jennifer Lynn Grampp, RPH
• Stephen Anthony Grande, DC
• Marcelle Grassi, MD
• Jennifer Gray, L.P.N.
• Great Lakes Dentistry
• Great Lakes Physician, PC
• Great Lakes Physician, PC
• Great Lakes Urology PLLC
• Greater Buffalo Spine Care P.C.

• Endodontics in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.