Charles D Gray, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1001576 Issued in WI

Practice address

1123 Suffolk Dr
Janesville, WI 53546-1608

Phone

(608) 752-2665

NPI assigned

Jun 12, 2017

Sex

Male

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

Enrolled in WI

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

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.

• Haye Dental Group

  • General Practice Dentistry
  • Janesville, WI
  • NPI 1376558106
  NPD (past)
• Vultaggio Dentistry of Coral Springs,LLC

  • Dental Clinic/Center
  • Coral Springs, FL
  • NPI 1871960757
  NPD (past)

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1356870463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 SUFFOLK DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535461608",
            "telephone_number": "608-752-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 SUFFOLK DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535461608",
            "telephone_number": "608-752-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CHARLES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxim Gorelik, MD
• Crystal Ann Grabek, PT
• Linda S Graf, LCSW
• Neil B Gragg, Jr.
• Morgan Kathleen Graham, ATC, LAT
• Danielle Gray, PHARMD
• Elizabeth Ann Gray, CCC-SLP
• Jessica L. Green, APNP
• Thomas J Green, MD
• Wesley D Green, CRNA

• General Practice Dentistry in Janesville, WI
• Providers in Janesville, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.