Organization Active NPI

Dr. Dustin Ray, PLLC

  • Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1366796245
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DR. DUSTIN RAY, PLLC
Practice address
777 Main St
640
Fort Worth, TX 76102-5304
Phone
(817) 224-2292
Fax
(866) 279-9993
NPI assigned
Oct 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Dr. Dustin L Ray, MDNPI 1639351216
Title
Ceo
Phone
(817) 224-2292

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
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

777 Main St
640
Fort Worth, TX 76102-5304

Mailing address

777 Main St
640
Fort Worth, TX 76102-5304
Phone (817) 224-2292

National Provider Directory

National Provider Directory
Tax ID family
Dr Dustin Ray PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

777 Main St
#640
Fort Worth, TX 76102
Phone (817) 224-2292

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": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1366796245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 MAIN ST",
            "address_2": "640",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025304",
            "telephone_number": "817-224-2292",
            "fax_number": "866-279-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 MAIN ST",
            "address_2": "640",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025304",
            "telephone_number": "817-224-2292",
            "fax_number": "866-279-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DUSTIN RAY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-224-2292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.