Active NPI
Angela Howard Gray, DDS
- General Practice Dentistry
- Des Arc, AR
National Provider Identifier
1346275690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3482
- Practice address
- 405 Hwy 11 North
Des Arc, AR 72040 - Phone
- (870) 256-3009
- Fax
- (870) 347-3492
- NPI assigned
- Jul 12, 2006
- Last updated
- Jan 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3482 | AR | Primary |
Addresses
Primary practice location
405 Hwy 11 North
Des Arc, AR 72040
Mailing address
PO Box 497
623 N 9TH Street
Augusta, AR 72006
Phone (870) 347-3372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3482 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200355200000",
"number": "1346275690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"address_2": "623 N 9TH STREET",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "72006",
"telephone_number": "870-347-3372",
"fax_number": "870-347-3492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 HWY 11 NORTH",
"city": "DES ARC",
"state": "AR",
"postal_code": "72040",
"telephone_number": "870-256-3009",
"fax_number": "870-347-3492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ANGELA",
"middle_name": "HOWARD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2008-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "3482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Arc, AR
- Arcare (ARcare 30)
- Tesha Lanatte Baker, LPN
- City of Des Arc Office of City Clerk
- Des Arc School District
- Diversicare Leasing Corp. (Des Arc Nursing & Rehabilitation Center)
- Brittney Heard, RDH
- Jeffrey Wayne Holt, MD
- Carol Hughes, DNP APRN FNP-BC
- Prairie Operations, LLC (Des Arc Nursing and Rehab Center)
- Prairie SNF Operations LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.