Alicia R Gray, DDS,DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

21622 Issued in NJ

Practice address

915 W Exchange Pkwy
Suite 280
Allen, TX 75013-7017

Phone

(214) 509-9011

Fax

(866) 360-6153

NPI assigned

Jan 10, 2007

Sex

Female

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

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.

• Ivy Diagnostics LLC

  • Clinical Medical Laboratory
  • Allen, TX
  • NPI 1821742701
  NPD Authorized official
• Center of Endodontics, Periodontics and Implantology, PA

  • Periodontics
  • Allen, TX
  • NPI 1619828639

  Endodontics

  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336299718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W EXCHANGE PKWY",
            "address_2": "SUITE 280",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137017",
            "telephone_number": "214-509-9011",
            "fax_number": "866-360-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W EXCHANGE PKWY",
            "address_2": "SUITE 280",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137017",
            "telephone_number": "214-509-9011",
            "fax_number": "866-360-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ALICIA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS,DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "21622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chester F Graham, M.D.
• Pamela Graham, MLA, SLP
• Richard L Grandjean, MD
• Daniel O Grassi, PT
• Hunter Graver, MD
• Jennifer Gray, LPV
• Kristina Gray
• Great Pathways Psychiatry PLLC
• Darby Katelyn Greear, PT
• Green Leaf Pharmacy, LLC

• Endodontics in Allen, TX
• Providers in Allen, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.