Leonard G Ray, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS0000003502 Issued in TN

Practice address

776 S Main St
Ashland City, TN 37015-1405

Phone

(615) 792-4238

Fax

(615) 792-1895

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

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

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.

• Leonard Ray, DDS/Jerry a. Gilpin, DMD

  • General Practice Dentistry
  • Ashland City, TN
  • NPI 1407004187
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1285617548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 S MAIN ST",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370151405",
            "telephone_number": "615-792-4238",
            "fax_number": "615-792-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 S MAIN ST",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370151405",
            "telephone_number": "615-792-4238",
            "fax_number": "615-792-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "LEONARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000003502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3223927",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0032220",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "630215",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Ruth Postlewait, M.S.
• Premier Orthopaedics & Sports Medicine, PLC
• Laura Pringle, LPN
• Robert J. Pullen, RN
• Jana Rachels, PA
• Sherry E Ray, FNP
• Stephen P. Ray, DDS
• Red Spruce Emergency Physicians, PLLC
• Rehabcare Group East, LLC
• Results-Ast JV, LLC

• Dentist in Ashland City, TN
• Providers in Ashland City, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.