NPIMap

Organization Active NPI

Timothy R Gray DDS PLLC

  • Dental Clinic/Center
  • Kent, WA
National Provider Identifier
1306700380
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TIMOTHY R GRAY DDS PLLC
Practice address
13106 SE 240TH St Ste 102
Kent, WA 98031-9211
Phone
(206) 271-2678
Fax
(206) 271-2678
NPI assigned
Dec 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Dr. Timothy Ross Gray, DDSNPI 1588662118
Title
Dentist/Owner
Phone
(253) 854-9890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

13106 SE 240TH St Ste 102
Kent, WA 98031-9211

Mailing address

13106 SE 240TH St Ste 102
Kent, WA 98031-9211
Phone (206) 271-2678

National Provider Directory

National Provider Directory

Locations

13106 SE 240th St
Ste 102
Kent, WA 98031
Phone (253) 854-9890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1306700380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13106 SE 240TH ST STE 102",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980319211",
            "telephone_number": "206-271-2678",
            "fax_number": "206-271-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13106 SE 240TH ST STE 102",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980319211",
            "telephone_number": "206-271-2678",
            "fax_number": "206-271-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY R GRAY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "253-854-9890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.