Individual provider Active NPI

Sheetal Ray, DMD

  • Dentist
  • Woodbridge, VA
National Provider Identifier
1275974156
Registry record updated Feb 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414102 Issued in VA
Practice address
4379 Ridgewood Center Dr
Ste 102
Woodbridge, VA 22192-8322
Phone
(703) 680-7950
Fax
(703) 680-7953
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414102 VA Primary

Addresses

Primary practice location

4379 Ridgewood Center Dr
Ste 102
Woodbridge, VA 22192-8322

Mailing address

1221 S Eads St
Apt 311
Arlington, VA 22202-4729
Phone (858) 774-2808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190501002965 CA Order and Referring Only - DentistPractitioner - Dentist 7719229244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401414102VAMDDentist

Interoperability endpoints

  • Direct secure messaging: sheetal.ray.p1@direct.scfhc.nextgenshare.com
  • Direct secure messaging: sheetal.ray@direct.parktreechc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393113600000",
    "number": "1275974156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S EADS ST",
            "address_2": "APT 311",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222024729",
            "telephone_number": "858-774-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4379 RIDGEWOOD CENTER DR",
            "address_2": "STE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928322",
            "telephone_number": "703-680-7950",
            "fax_number": "703-680-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "SHEETAL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2014-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.