Richard Gray, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10491 Issued in CO

Practice address

2032 Lowe St Unit 100
Fort Collins, CO 80525-5743

Phone

(970) 221-3020

Fax

(970) 482-7562

NPI assigned

Jul 21, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 29, 2015 through Oct 29, 2027

Medicare enrollment (NPD)

Not 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.

• Richard M. Gray, DDS, PC

  • Dental Clinic/Center
  • Fort Collins, CO
  • NPI 1437906435
  NPD Authorized official

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1215225495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 RIVERSIDE AVE",
            "address_2": "SUITE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244373",
            "telephone_number": "970-221-3020",
            "fax_number": "970-482-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 LOWE ST UNIT 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255743",
            "telephone_number": "970-221-3020",
            "fax_number": "970-482-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl Warren Gray, C.M.T.
• James Gray, RBT
• Jennifer Gray, PH.D.
• John M. Gray, MA LPC
• Preston Ford Gray, DDS
• Sharon L. Gray, LMFT
• Stephanie Lynn Gray, BS
• Melissa Graziano, LPC, NCC, RPT, EMDR
• Great World Health LLC
• Green Counseling, LLC

• General Practice Dentistry in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.